Individual provider Active NPI

Jeanette Champeau Leitner, C.P.N.P., A.P.R.N

  • Pediatric Nurse Practitioner
  • Kailua, HI
National Provider Identifier
1336448158
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1293 Issued in HI
Practice address
30 Aulike St Ste 500
Kailua, HI 96734-2752
Phone
(808) 263-8822
NPI assigned
Mar 18, 2011
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1293 HI Primary

Addresses

Primary practice location

30 Aulike St Ste 500
Kailua, HI 96734-2752

Mailing address

30 Aulike St Ste 500
Kailua, HI 96734-2752
Phone (808) 263-8822

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeanette.leitner@30137067438084.direct.elationemr.com

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
I20201027001874 HI Practitioner - Nurse Practitioner 0547670846 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Physician Network CurrentSince Jul 17, 2024 Accepting new patients
Castle Physician Network Current Accepting new patients
Castle Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Castle Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Aulike Health Partners, LLC CurrentSince Nov 29, 2020 Accepting new patients
Reis Pediatrics LLC Pediatrics CurrentSince Nov 1, 2020 Accepting new patients

Locations

321 N Kuakini St
Ste 201
Honolulu, HI 96817
Phone (808) 523-8611

30 Aulike St
Ste 500
Kailua, HI 96734
Phone (808) 263-8822

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

660 Kailua Rd
Kailua, HI 96734
Phone (808) 263-2273

46-001 Kamehameha Hwy
Ste 220
Kaneohe, HI 96744
Phone (808) 263-8822

1245 Kuala St
Ste 103
Pearl City, HI 96782
Phone (808) 456-2273

Interoperability endpoints

  • Direct secure messaging: jeanette.leitner@30137067438084.direct.elationemr.com

Organizations & group practices 6

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1336448158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST STE 500",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342752",
            "telephone_number": "808-263-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST STE 500",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342752",
            "telephone_number": "808-263-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITNER",
        "first_name": "JEANETTE",
        "middle_name": "CHAMPEAU",
        "credential": "C.P.N.P., A.P.R.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "HI",
            "license": "1293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeanette.leitner@30137067438084.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "30 Aulike St Ste 500",
            "city": "Kailua",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967342752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.