Individual provider Active NPI

Kelly C Jenei, FNP

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1386992048
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP23764 Issued in CA
Practice address
500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813-4902
Phone
(888) 731-8994
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201242836RN OR
Family Nurse Practitioner 363LF0000X NP23764 CA Primary

Addresses

Primary practice location

500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813-4902

Mailing address

195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073
Phone (888) 731-8994

Other practice location 1

1050 SW 6th Ave Ste 1100
Portland, OR 97204-1153
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140416002364 CA Practitioner - Nurse Practitioner 0648402073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellbridge Medical IncGroup PAC ID 4284098260, 5 clinicians

Practice addresses (Care Compare)

2500 Pecho Valley Rd
Los Osos, CA 93402-4104
Phone (805) 706-0337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP23764CAMDFamily Nurse Practitioner
201242836RNORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Aug 9, 2016 Accepting new patients
First Choice Physician Partners CurrentSince Aug 9, 2016 Accepting new patients
Wellbridge Medical Inc. CurrentSince Dec 19, 2024 Accepting new patients
Santa Barbara County Auditor CurrentSince Nov 6, 2020 Accepting new patients
Santa Barbara County Auditor CurrentSince Nov 6, 2020 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Santa Barbara County Auditor Current Accepting new patients
First Choice Physician Partners Past Accepting new patients

Locations

35 Casa St
Ste 320
San Luis Obispo, CA 93405
Phone (805) 250-4844

300 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 681-5220

300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461

2115 Centerpointe Pkwy
Santa Maria, CA 93455
Phone (805) 346-7230

Organizations & group practices 8

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1386992048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 PAGE MILL RD STE 103",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062073",
            "telephone_number": "888-731-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 7400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134902",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 SW 6th Ave Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972041153",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENEI",
        "first_name": "KELLY",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201242836RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP23764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.