Individual provider Active NPI

Jacquelyn Denise Taylor, FNP

  • Nurse Practitioner
  • Waipahu, HI
National Provider Identifier
1457135097
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-6050 Issued in HI
Practice address
94-229 Waipahu Depot St Ste 101
Waipahu, HI 96797-3032
Phone
(808) 206-9849
Fax
(808) 206-9850
NPI assigned
Aug 23, 2023
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-82922 KS
Nurse Practitioner 363L00000X APRN-6050 HI Primary
Family Nurse Practitioner 363LF0000X 53-82922 KS

Addresses

Primary practice location

94-229 Waipahu Depot St Ste 101
Waipahu, HI 96797-3032

Mailing address

94-229 Waipahu Depot St Ste 101
Waipahu, HI 96797-3032
Phone (808) 206-9849

Other practice location 1

75-184 Hualalai Rd Ste 202
Kailua Kona, HI 96740-1719
Phone (808) 329-8251

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtaylor92429@direct.acumenmd.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20250506002839 KS Practitioner - Nurse Practitioner 3375997372

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1133 College Ave
Manhattan, KS 66502-2774

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-6050HIMDNurse Practitioner
53-82922KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Nephrologists LLC CurrentSince Aug 17, 2026 Accepting new patients

Locations

75-184 Hualalai Rd
Ste 202
Kailua Kona, HI 96740
Phone (808) 329-8251

94-229 Waipahu Depot St
Ste 101
Waipahu, HI 96797
Phone (808) 206-9849

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1457135097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973032",
            "telephone_number": "808-206-9849",
            "fax_number": "808-206-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973032",
            "telephone_number": "808-206-9849",
            "fax_number": "808-206-9850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75-184 Hualalai Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967401719",
            "country_code": "US",
            "telephone_number": "808-329-8251",
            "fax_number": "808-334-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JACQUELYN",
        "middle_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-82922",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-6050",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-82922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtaylor92429@direct.acumenmd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "94-229 Waipahu Depot St Ste 101",
            "city": "Waipahu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967973032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.