Beverly Esplana Tumbaga, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-1537 Issued in HI

Practice address

4643 Waimea Canyon Dr.
Waimea, HI 96796

Phone

(180) 833-8831

NPI assigned

Dec 2, 2013

Last updated

Mar 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Beverly Esplana Mangayayam Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samuel Mahelona Memorial HospitalGroup PAC ID 1759271216, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kauai Veterans Memorial Hospital Hospital, Waimea, HI, CCN 121300
• Samuel Mahelona Memorial Hospital Hospital, Kapaa, HI, CCN 121306
• Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014

Merit-based Incentive Payment System (MIPS)

Final score

70.96 of 100Reported as group

Quality

47.2

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hhsckr.btumbaga@hhsc.kauairegion.cernerdirect.com

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.

• Samuel Mahelona Memorial Hospital

  • Specialist
  • Kapa'a, HI
  • NPI 1346419553
  Medicare reassignment Care Compare group NPD
• Kauai Veterans Memorial Hospital

  • Critical Access Hospital
  • Waimea, HI
  • NPI 1467510743
  Medicare reassignment NPD
• Kauai Veterans Memorial Hospital

  • Specialist
  • Waimea, HI
  • NPI 1467620328
  NPD
• Samuel Mahelona Memorial Hospital

  • Psychiatric Hospital Unit
  • Kapa'a, HI
  • NPI 1255406575
  NPD
• Samuel Mahelona Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Kapa'a, HI
  • NPI 1508927427
  NPD (past)

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

• Kauai Veterans Memorial Hospital

  • Critical Access Hospital
  • Waimea, HI
  • NPI 1467510743
  Care Compare affiliation
• Samuel Mahelona Memorial Hospital

  • Critical Access Hospital
  • Kapa'a, HI
  • NPI 1619038536
  Care Compare affiliation
• Wilcox Memorial Hospital

  • Rural Acute Care Hospital
  • Lihue, HI
  • NPI 1225113442
  Care Compare affiliation

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1275964223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "967960669",
            "telephone_number": "808-338-8311",
            "fax_number": "808-338-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 WAIMEA CANYON DR.",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "96796",
            "telephone_number": "180-833-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMBAGA",
        "first_name": "BEVERLY",
        "middle_name": "ESPLANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "RX-503",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-1537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhsckr.btumbaga@hhsc.kauairegion.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "KVMH Clinic Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4643 Waimea Canyon Dr.",
            "city": "Waimea",
            "state": "HI",
            "country_code": "US",
            "postal_code": "96796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "MANGAYAYAM",
            "middle_name": "ESPLANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sunshine Drug and Sundry LLC
• Lisa A Taniguchi, LCSW
• Kathie J Taylor, NURSE RN
• Brian Tobe, MD
• Mariano Torres, M.D.
• Waimea Emergency Services LLC
• West Hawaii Imaging Services, Inc
• Narreinar Pawsheun Williams, M.D.
• Elliot R Willis-Orlando, DDS
• Jeffrey C.M. Wong, D.O.

• Family Nurse Practitioner in Waimea, HI
• Providers in Waimea, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.