Individual provider Active NPI

Roen Kanani Ornellas, DNP, APRN-BC

  • Family Nurse Practitioner
  • Kapa'a, HI
National Provider Identifier
1407643406
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-4901-0 Issued in HI
Practice address
301 Molo St
Kapaa, HI 96746-9479
Phone
(808) 728-2855
NPI assigned
Apr 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-4901-0 HI Primary

Addresses

Primary practice location

301 Molo St
Kapaa, HI 96746-9479

Mailing address

301 Molo St
Kapaa, HI 96746-9479
Phone (808) 728-2855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Hawaii John a. Burns School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

37 Via Conocido
San Clemente, CA 92673-7044

4488 Hanalei Plantation Rd
Princeville, HI 96722-5462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-4901-0HIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1407643406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MOLO ST",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967469479",
            "telephone_number": "808-728-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MOLO ST",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967469479",
            "telephone_number": "808-728-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNELLAS",
        "first_name": "ROEN KANANI",
        "name_prefix": "Dr.",
        "credential": "DNP,  APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4901-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapa'a, HI

Sources for this page

Verify at the official NPI Registry.