Individual provider Active NPI

Jonelee Badua

  • Family Medicine Physician
  • Ewa Beach, HI
National Provider Identifier
1578035671
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN-2534 Issued in HI
Practice address
91-2135 Fort Weaver Rd FL 3
Ewa Beach, HI 96706-1940
Phone
(808) 691-3150
NPI assigned
Dec 30, 2018
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN-2534 HI Primary

Addresses

Primary practice location

91-2135 Fort Weaver Rd FL 3
Ewa Beach, HI 96706-1940

Mailing address

91-2135 Fort Weaver Rd FL 3
Ewa Beach, HI 96706-1940
Phone (808) 691-3150

Other practice location 1

1329 Lusitana St Ste B1
Honolulu, HI 96813-2401
Phone (808) 691-4615

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
I20190405001176 HI Practitioner - Nurse Practitioner 7618218397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Queens Medical CenterGroup PAC ID 3476454067, 191 clinicians

Practice addresses (Care Compare)

550 S Beretania St
Honolulu, HI 96813-2496

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.15 of 100Reported as group
Quality
16.73
Improvement activities
40
Cost
78.22

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Oct 11, 2023 Accepting new patients
The Queen's Medical Center CurrentSince Oct 11, 2023 Accepting new patients
The Queen's Medical Center Current Accepting new patients
Pacific Vascular Institute-Kona CurrentSince Aug 15, 2022 Accepting new patients
The Queens Medical Center - Progressive Care Unit Past Accepting new patients

Locations

99-115 Aiea Heights Dr
#276B
Aiea, HI 96701

91-2135 Fort Weaver Rd
Fl 3
Ewa Beach, HI 96706
Phone (808) 691-3150

1276 Kinoole St
Hilo, HI 96720
Phone (808) 935-7181

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1329 Lusitana St
Ste B1
Honolulu, HI 96813
Phone (808) 547-4615

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

75-170 Hualalai Rd
Ste D216A
Kailua Kona, HI 96740
Phone (808) 313-8338

75-184 Hualalai Rd
Ste 100-101
Kailua Kona, HI 96740
Phone (805) 975-7463

85-910 Farrington Hwy
Ste 104
Waianae, HI 96792
Phone (808) 593-2525

Interoperability endpoints

  • Direct secure messaging: jonelee.badua.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 5

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 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": "1546128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1578035671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER RD FL 3",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061940",
            "telephone_number": "808-691-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER RD FL 3",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061940",
            "telephone_number": "808-691-3150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1329 Lusitana St Ste B1",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132401",
            "country_code": "US",
            "telephone_number": "808-691-4615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADUA",
        "first_name": "JONELEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-30",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "APRN-2534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

Verify at the official NPI Registry.