Individual provider Active NPI

Rosemarie Foronda, APRN

  • Nurse Practitioner
  • Wailuku, HI
National Provider Identifier
1154346914
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN401 Issued in HI
Practice address
2180 Main St
Wailuku, HI 96793-1666
Phone
(808) 242-6464
Fax
(808) 243-2343
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN401 HI Primary

Addresses

Primary practice location

2180 Main St
Wailuku, HI 96793-1666

Mailing address

2180 Main St
Wailuku, HI 96793-1666
Phone (808) 242-6464

Other identifiers 5

IdentifierTypeStateIssuer
A208486OtherHIHMSA - HMSA QUEST - 65CP
99017685996793B102OtherHITRICARE - CHAMPUS
07933103OtherHIALOHA CARE QUEST
463643OtherHIUHA
07933103MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111109000470 HI Practitioner - Nurse Practitioner 6406029347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maui Medical Group IncGroup PAC ID 7214823368, 68 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN401HIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Medical Group Inc CurrentSince Feb 1, 2001 Accepting new patients

Locations

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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1154346914",
    "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": "967931666",
            "telephone_number": "808-242-6464",
            "fax_number": "808-243-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 MAIN ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931666",
            "telephone_number": "808-242-6464",
            "fax_number": "808-243-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORONDA",
        "first_name": "ROSEMARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA - HMSA QUEST - 65CP",
            "identifier": "A208486",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE - CHAMPUS",
            "identifier": "99017685996793B102",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE QUEST",
            "identifier": "07933103",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "463643",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07933103",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.