Individual provider Active NPI

Jenny Greenlee, FNP-C

  • Primary Care Nurse Practitioner
  • Waianae, HI
National Provider Identifier
1154936094
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN-3030 Issued in HI
Practice address
86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone
(808) 697-3300
NPI assigned
Sep 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN-3030 HI Primary

Addresses

Primary practice location

86-260 Farrington Hwy
Waianae, HI 96792-3128

Mailing address

16-566 Keaau Pahoa Rd # 188-342
Keaau, HI 96749-8137
Phone (808) 430-9790

Other practice location 1

16-590 Old Volcano Rd Ste Bc
Keaau, HI 96749-8158
Phone (808) 430-9790

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
I20210913000734 HI Practitioner - Nurse Practitioner 2769888049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

85 -180 Ala Akau St
Waianae, HI 96792-2323
Phone (808) 697-3300

85 -220 McArthur St
Waianae, HI 96792-2619
Phone (808) 697-3300

85-251 Farrington Hwy
Waianae, HI 96792-2113
Phone (808) 697-3520

85-626 Farrington Hwy
Waianae, HI 96792-2419
Phone (808) 697-3300

86-032 Farrington Hwy
Suite 101
Waianae, HI 96792-3099
Phone (808) 697-3200

86-120 Farrington Hwy
Waianae, HI 96792-3072

86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

86-260 Farrington Hwy
Waianae, HI 96792

87-2070 Farrington Hwy
Suite N
Waianae, HI 96792-3756
Phone (808) 697-3900

89 -153 Mano Ave
Waianae, HI 96792-4036
Phone (808) 697-3300

89 -980 Nanakuli Ave
Waianae, HI 96792-3999
Phone (808) 697-3222

89-102 Farrington Hwy
Unit 3000
Waianae, HI 96792-4160
Phone (808) 679-3900

94 -428 Mokuola St
Suite 108B
Waipahu, HI 96797-3396
Phone (808) 697-3888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-3030HIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
We Prescribe Inc CurrentSince Mar 14, 2022 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc Current Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc CurrentSince Aug 24, 2021 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Aug 24, 2021 Accepting new patients
Jennifer Grune DNP FNP-BC PastSince Feb 1, 2022 Accepting new patients

Locations

1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

89-102 Farrington Hwy
Waianae, HI 96792
Phone (808) 380-0626

Interoperability endpoints

  • Direct secure messaging: jenny.greenlee.p1@direct.wcchc.nextgenshare.com
  • Direct secure messaging: jenny.greenlee@340371529072644.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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1154936094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16-566 KEAAU PAHOA RD # 188-342",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967498137",
            "telephone_number": "808-430-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923128",
            "telephone_number": "808-697-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16-590 Old Volcano Rd Ste Bc",
            "address_purpose": "LOCATION",
            "city": "Keaau",
            "state": "HI",
            "postal_code": "967498158",
            "country_code": "US",
            "telephone_number": "808-430-9790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "JENNY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "HI",
            "license": "APRN-3030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.