Hazel-Lyn Peralta Jarquio

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-4978 Issued in HI

Practice address

91-902 Fort Weaver Rd Ste 209
Ewa Beach, HI 96706-2261

Phone

(808) 689-7944

NPI assigned

Apr 17, 2025

Last updated

Apr 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Nurse Practitioner

Education

University of Hawaii John a. Burns School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Wahiawa Center for Community HealthGroup PAC ID 6608154182, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hazel-lyn.jarquio.1@15549.direct.athenahealth.com

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.

• The Wahiawa Center for Community Health

  dba 'Wahiawa Health'

  • Federally Qualified Health Center (FQHC)
  • Wahiawa, HI
  • NPI 1992176283
  Medicare reassignment Care Compare group NPD
• Arnold Seid MD Inc

  • Internal Medicine Physician
  • Wahiawa, HI
  • NPI 1407094808
  NPD
• Arnold Seid MD LLC

  • Internal Medicine Physician
  • Wahiawa, HI
  • NPI 1184259806
  NPD

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1659167567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-902 FORT WEAVER RD STE 209",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062261",
            "telephone_number": "808-689-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-902 FORT WEAVER RD STE 209",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062261",
            "telephone_number": "808-689-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARQUIO",
        "first_name": "HAZEL-LYN",
        "middle_name": "PERALTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Orthopaedics, LLC
• Souksamlane Itamoto, RN
• Laura Beth Iversen
• James H.E. Ireland MD, LLC (West Oahu Nephrology)
• James M Warner MD LLC
• Jennifer H. Hirota, DDS, LLC
• Cherlyn Jensen
• JLCS Consulting Inc.
• Deborah Anita Johnson, R.PH.
• Lisa Marie Johnson

• Family Nurse Practitioner in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.