Individual provider Active NPI

Wimonrat Fursey, APRN

  • Women's Health Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1518604149
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN-3655-0 Issued in HI
Practice address
50 S Beretania St Ste C211C
Honolulu, HI 96813-2222
Phone
(808) 532-2020
Fax
(808) 674-8936
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN-3655-0 HI Primary

Addresses

Primary practice location

50 S Beretania St Ste C211C
Honolulu, HI 96813-2222

Mailing address

50 S Beretania St Ste C211C
Honolulu, HI 96813-2222
Phone (808) 532-2020

Other practice location 1

1020 Kakala St Apt 903
Kapolei, HI 96707-4544
Phone (808) 532-2020

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
I20220901000485 HI Practitioner - Nurse Practitioner 1052795523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lynette W Tsai MD IncGroup PAC ID 0941394019, 4 clinicians

Practice addresses (Care Compare)

50 S Beretania St
Suite C211C
Honolulu, HI 96813-2222
Phone (808) 532-2020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3655HIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
APRN-3655-0HIMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lynette W. Tsai, M.D., Inc. CurrentSince Jul 28, 2022 Accepting new patients
Maui Medical Group Inc PastSince May 22, 2022 Accepting new patients

Locations

50 S Beretania St
Ste C211C
Honolulu, HI 96813
Phone (808) 532-2020

Interoperability endpoints

  • Direct secure messaging: wimonrat.fursey@13011192971268.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1518604149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S BERETANIA ST STE C211C",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132222",
            "telephone_number": "808-532-2020",
            "fax_number": "808-674-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S BERETANIA ST STE C211C",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132222",
            "telephone_number": "808-532-2020",
            "fax_number": "808-674-8936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Kakala St Apt 903",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967074544",
            "country_code": "US",
            "telephone_number": "808-532-2020",
            "fax_number": "808-674-8936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURSEY",
        "first_name": "WIMONRAT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "HI",
            "license": "APRN-3655-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.