Individual provider Active NPI

Joanna Marie Fidel Plumb, FNP-BC

  • Family Nurse Practitioner
  • Wailuku, HI
National Provider Identifier
1114536448
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-4059 Issued in HI
Practice address
2180 Main St
Wailuku, HI 96793-1625
Phone
(808) 242-6464
NPI assigned
Jul 22, 2020
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-4059 HI Primary
Family Nurse Practitioner 363LF0000X 28009 TN

Addresses

Primary practice location

2180 Main St
Wailuku, HI 96793-1625

Mailing address

2180 Main St
Wailuku, HI 96793-1625
Phone (808) 242-6464

Other practice location 1

301 Demonbreun St Unit 1508
Nashville, TN 37201-2243
Phone (615) 618-0412

Other practice location 2

713A President Pl
Smyrna, TN 37167-5652
Phone (615) 220-0056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210401001392 TN Practitioner - Nurse Practitioner 7315354644 Reassigns benefits to 1 organization
I20230831004322 HI Practitioner - Nurse Practitioner 7315354644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maui Medical Group IncGroup PAC ID 7214823368, 68 clinicians
Mi-Health LLCGroup PAC ID 0143605030, 31 clinicians

Practice addresses (Care Compare)

2180 Main St
Wailuku, HI 96793-1625
Phone (808) 242-6464

770 Kapiolani Blvd
Suite 500
Honolulu, HI 96813-5258
Phone (808) 666-9960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-4059HIMDFamily Nurse Practitioner
28009TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince May 1, 2025 Accepting new patients
Mi-Health LLC CurrentSince Oct 1, 2024 Accepting new patients
Maui Medical Group Inc CurrentSince Sep 5, 2023 Accepting new patients
Family Care of Middletennessee CurrentSince Dec 4, 2020 Accepting new patients
Hosanna LLC Past Accepting new patients

Locations

770 Kapiolani Blvd
Ste 114
Honolulu, HI 96813
Phone (808) 666-9960

770 Kapiolani Blvd
Ste 500
Honolulu, HI 96813
Phone (808) 666-9960

45-181 Waikalua Rd
Kaneohe, HI 96744
Phone (808) 247-0003

55 Pukalani St
Makawao, HI 96768
Phone (808) 572-8266

2180 Main St
Wailuku, HI 96793
Phone (808) 242-4267

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

713A President Pl
Smyrna, TN 37167
Phone (615) 220-0056

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBJBAA
  • Direct secure messaging: joannamarie.plumb@532995347120132.direct.elationemr.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1114536448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 MAIN ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931625",
            "telephone_number": "808-242-6464",
            "fax_number": "808-249-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 MAIN ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931625",
            "telephone_number": "808-242-6464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Demonbreun St Unit 1508",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372012243",
            "country_code": "US",
            "telephone_number": "615-618-0412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713A President Pl",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371675652",
            "country_code": "US",
            "telephone_number": "615-220-0056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "JOANNA MARIE",
        "middle_name": "FIDEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4059",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.