Beverly Esplana Tumbaga, APRN
Individual provider Active NPI Family Nurse Practitioner · Waimea, HI
NPI 1275964223 · NPPES record last updated Mar 12, 2021
Key facts
- NPI
- 1275964223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN-1537 (HI)
- Practice address
- 4643 Waimea Canyon Dr.
Waimea, HI 96796 - Phone
- (180) 833-8831
- NPI assigned
- Dec 2, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samuel Mahelona Memorial Hospital
Practice addresses (Care Compare)
4643 Waimea Canyon Dr
Ste. B
Waimea, HI 96796
Phone (808) 338-8311
PO Box
Suite 337
Waimea, HI 96796
Hospital & facility affiliations
- Kauai Veterans Memorial Hospital
- Samuel Mahelona Memorial Hospital
- Wilcox Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.96 of 100
- Quality
- 47.2
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140502001880 | HI | Practitioner - Nurse Practitioner | 3476786153 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RX-503 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel Mahelona Memorial Hospital | Current |
Accepting new patients | |
| Kauai Veterans Memorial Hospital | Current |
Accepting new patients | |
| Samuel Mahelona Memorial Hospital | Current |
Accepting new patients | |
| Kauai Veterans Memorial Hospital | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RX-503 | HI | |
| Family Nurse Practitioner | 363LF0000X | APRN-1537 | HI | Yes |
Addresses
Primary practice location
4643 Waimea Canyon Dr.
Waimea, HI 96796
Mailing address
PO Box 669
Waimea, HI 96796-0669
Phone (808) 338-8311
Other names
- Beverly Esplana Mangayayam
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hhsckr.btumbaga@hhsc.kauairegion.cernerdirect.com | Direct |
Other providers in Waimea, HI
- Sunshine Drug and Sundry LLC
- Lisa A Taniguchi
- Kathie J Taylor
- Brian Tobe
- Mariano Torres
- Waimea Emergency Services LLC
- West Hawaii Imaging Services, Inc
- Narreinar Pawsheun Williams
- Elliot R Willis-Orlando
- Jeffrey C.M. Wong
All providers in Waimea, HI · Family Nurse Practitioner in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.