Ellen Nicole Kamenar, FNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

4142 Issued in HI

Practice address

34 Wailea Gateway PL
Kihei, HI 96753-6525

Phone

(808) 501-1200

NPI assigned

Dec 11, 2023

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1578330593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 LAULOA ST",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537015",
            "telephone_number": "513-324-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WAILEA GATEWAY PL",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536525",
            "telephone_number": "808-501-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMENAR",
        "first_name": "ELLEN",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4142",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "HI",
            "license": "4142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan (Kaiser Kihei Clinic Radiology)
• Kaiser Foundation Health Plan Inc (Kaiser Kihei Clinic Laboratory)
• Kaiser Foundation Health Plan, Inc (Kihei Clinic)
• Kaiser Foundation Hospitals (Kaiser Kihei Pharmacy)
• Malia Kaleo O Kalani Kamahele-Entendencia, B.S
• Rufina K Kauai
• Rayna Kelley
• Colton James Kelly, DDS
• Laura Dodson Kelly, DDS
• Lauren Mai Kelly, M.A.

• Women's Health Nurse Practitioner in Kihei, HI
• Providers in Kihei, HI by specialty
• Women's Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.