Individual provider Active NPI

Helene Duenas Tuncap, PA-C

  • Physician Assistant
  • Tamuning, GU
National Provider Identifier
1508181553
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-86 Issued in GU
Practice address
548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone
(671) 646-5825
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA-86 GU Primary

Addresses

Primary practice location

548 S Marine Corps Dr
Tamuning, GU 96913-3539

Mailing address

374 Pale San Vitores Rd
Suite 101
Tamuning, GU 96913-4082
Phone (671) 686-2175

Other names 1

  • Helene Anne Duenas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20120723000188 GU Practitioner - Physician Assistant 8325204258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Takecare Insurance Company Inc 28 clinicians

Practice addresses (Care Compare)

548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone (671) 646-5825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-86GUMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Takecare Insurance Company Inc. CurrentSince Apr 11, 2012 Accepting new patients

Locations

548 S Marine Corps Dr
Tamuning, GU 96913
Phone (671) 646-5824

Organizations & group practices 4

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": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1508181553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 PALE SAN VITORES RD",
            "address_2": "SUITE 101",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134082",
            "telephone_number": "671-686-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 S MARINE CORPS DR",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133539",
            "telephone_number": "671-646-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNCAP",
        "first_name": "HELENE",
        "middle_name": "DUENAS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GU",
            "license": "PA-86",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELENE",
            "last_name": "DUENAS",
            "middle_name": "ANNE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.