Individual provider Active NPI

Charmaine Jan Ocampo Gonzalvo, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1457059537
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-3938 Issued in HI
Practice address
1022 Gulick Ave
Honolulu, HI 96819-4511
Phone
(808) 847-4659
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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-3938 HI Primary

Addresses

Primary practice location

1022 Gulick Ave
Honolulu, HI 96819-4511

Mailing address

92-550 Waokele St
Kapolei, HI 96707-3400

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
I20230616002774 HI Practitioner - Nurse Practitioner 9335507789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charlie Y Sonido M D LLCGroup PAC ID 8224931928, 18 clinicians

Practice addresses (Care Compare)

1022 Gulick Ave
Honolulu, HI 96819-4511
Phone (808) 847-4659

Hospital & facility affiliations

  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Antonio D Ramos MD Inc CurrentSince Feb 26, 2023 Accepting new patients
Charlie Y Sonido M D LLC CurrentSince Mar 25, 2023 Accepting new patients

Locations

1022 Gulick Ave
Honolulu, HI 96819
Phone (808) 847-4659

94-837 Waipahu St
Waipahu, HI 96797
Phone (808) 671-3911

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1457059537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-550 WAOKELE ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967073400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 GULICK AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194511",
            "telephone_number": "808-847-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALVO",
        "first_name": "CHARMAINE JAN",
        "middle_name": "OCAMPO",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.