Individual provider Active NPI

Jeffrey Viernes, APRN

  • Acute Care Clinical Nurse Specialist
  • Honolulu, HI
National Provider Identifier
1184260994
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
2918 Issued in HI
Practice address
550 S Beretania St Ste 601
Honolulu, HI 96813-2423
Phone
(808) 691-7770
Fax
(808) 691-7771
NPI assigned
Nov 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 2918 HI Primary

Addresses

Primary practice location

550 S Beretania St Ste 601
Honolulu, HI 96813-2423

Mailing address

550 S Beretania St Ste 601
Honolulu, HI 96813-2423
Phone (808) 691-7770

Other practice location 1

1401 S Beretania St Ste 400
Honolulu, HI 96814-1872
Phone (808) 206-5301

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
I20220303001720 HI Practitioner - Nurse Practitioner 1759775992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2918HIMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Apr 18, 2022 Accepting new patients
Anesthesia Innovations LLC CurrentSince Aug 2, 2021 Accepting new patients
The Queen'S Medical Center Current Accepting new patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
The Queens Medical Center CurrentSince Apr 18, 2022 Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1401 S Beretania St
Ste 400
Honolulu, HI 96814
Phone (808) 206-5301

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

550 S Beretania St
Ste 601
Honolulu, HI 96813
Phone (808) 691-8877

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEDCCA

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.

NPI Registry JSON

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1184260994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST STE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132423",
            "telephone_number": "808-691-7770",
            "fax_number": "808-691-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST STE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132423",
            "telephone_number": "808-691-7770",
            "fax_number": "808-691-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 S Beretania St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968141872",
            "country_code": "US",
            "telephone_number": "808-206-5301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIERNES",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-27",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "HI",
            "license": "2918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.