Individual provider Active NPI

Elizabeth Garnica-Yaeger, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mililani, HI
National Provider Identifier
1235988130
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
874463 Issued in NV
Practice address
95-976 Kelakela St
Mililani, HI 96789-5958
Phone
(254) 432-0198
NPI assigned
May 14, 2024
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 874463 NV Primary

Addresses

Primary practice location

95-976 Kelakela St
Mililani, HI 96789-5958

Mailing address

95-976 Kelakela St
Mililani, HI 96789-5958
Phone (254) 432-0198

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
I20251126000931 HI Practitioner - Nurse Practitioner 1355833310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jason R Keifer MD PC LLCGroup PAC ID 5193864270, 4 clinicians

Practice addresses (Care Compare)

4211 Waialae Ave
Suite 1420
Honolulu, HI 96816-5339
Phone (808) 554-5688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
874463NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jason R. Keifer, M.D., P.C., LLC CurrentSince Sep 6, 2025 Accepting new patients

Locations

98-1247 Kaahumanu St
Ste 106
Aiea, HI 96701
Phone (808) 486-1500

4211 Waialae Ave
Ste 1420
Honolulu, HI 96816
Phone (808) 554-5688

Interoperability endpoints

  • Direct secure messaging: elizabeth.garnica-yaeger.1@32039.direct.athenahealth.com

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, 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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1235988130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-976 KELAKELA ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967895958",
            "telephone_number": "254-432-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-976 KELAKELA ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967895958",
            "telephone_number": "254-432-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNICA-YAEGER",
        "first_name": "ELIZABETH",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "874463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

Verify at the official NPI Registry.