Individual provider Active NPI

Jovelia Antonio Repullo, APRN

  • Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1164388203
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-5648 Issued in HI
Practice address
55 Merchant St Ste 2900
Honolulu, HI 96813-4384
Phone
(808) 536-8012
Fax
(727) 592-5395
NPI assigned
Jan 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X APRN-5648 HI Primary

Addresses

Primary practice location

55 Merchant St Ste 2900
Honolulu, HI 96813-4384

Mailing address

94-1080 Lumipolu St
Waipahu, HI 96797-3954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN-5648HIMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1164388203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1080 LUMIPOLU ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973954",
            "fax_number": "727-592-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERCHANT ST STE 2900",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134384",
            "telephone_number": "808-536-8012",
            "fax_number": "727-592-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPULLO",
        "first_name": "JOVELIA",
        "middle_name": "ANTONIO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-5648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.