Individual provider Active NPI

Gina Irene Puen, APRN

  • Adult Health Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1679834741
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1420 Issued in HI
Practice address
1292 Waianuenue Ave
Hilo, HI 96720-1228
Phone
(808) 334-4400
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1420 HI Primary

Addresses

Primary practice location

1292 Waianuenue Ave
Hilo, HI 96720-1228

Mailing address

1292 Waianuenue Ave
Hilo, HI 96720-1228
Phone (808) 334-4400

Other practice location 1

2180 Main St
Wailuku, HI 96793-1625
Phone (808) 242-6464

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

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
I20130314000272 HI Practitioner - Nurse Practitioner 9830334168 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Vascular Associates LLCGroup PAC ID 9537598859, 12 clinicians

Practice addresses (Care Compare)

99 -115 Aiea Heights Dr
Suite 276B
Aiea, HI 96701-3924
Phone (808) 784-3050

Merit-based Incentive Payment System (MIPS)

Final score
70.16 of 100Reported as group
Quality
40
Improvement activities
40
Cost
71.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1420HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Rim Cardiovascular Inc CurrentSince Oct 7, 2018 Accepting new patients
Sensei Surgery, Inc CurrentSince Oct 1, 2025 Accepting new patients
Kaiser Foundation Health Plan, Inc CurrentSince Jul 18, 2015 Accepting new patients
Kaiser Foundation Health Plan Inc CurrentSince Jul 18, 2015 Accepting new patients
Pacific Vascular Institute-Kona CurrentSince May 1, 2022 Accepting new patients
Kaiser Foundation Health Plan Inc Current Accepting new patients
Pacific Vascular Associates, LLC CurrentSince Jan 7, 2025 Accepting new patients

Locations

99-115 Aiea Heights Dr
Ste 246
Aiea, HI 96701
Phone (808) 384-3050

98-1079 Moanalua Rd
Ste 620
Aiea, HI 96701
Phone (808) 486-0429

99-115 Aiea Heights Dr
Ste 276B
Aiea, HI 96701
Phone (352) 870-7393

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

1292 Waianuenue Ave
Hilo, HI 96720
Phone (808) 334-4400

670 Ponahawai St
Ste 220
Hilo, HI 96720
Phone (808) 871-8346

75 Puuhonu Pl
Ste 204
Hilo, HI 96720
Phone (808) 731-7409

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

405 N Kuakini St
Ste 1107
Honolulu, HI 96817
Phone (808) 521-9154

385 Hukilike St
Ste 210
Kahului, HI 96732
Phone (808) 871-8346

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

75-184 Hualalai Rd
Ste 203
Kailua Kona, HI 96740
Phone (808) 329-9211

75-170 Hualalai Rd
Ste 216A
Kailua Kona, HI 96740

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

599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600

85-910 Farrington Hwy
Ste 104
Waianae, HI 96792
Phone (808) 850-1892

55 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 243-6000

220 Imi Kala St
Ste 102
Wailuku, HI 96793
Phone (808) 242-6605

210 Imi Kala St
Ste 102
Wailuku, HI 96793
Phone (808) 444-3477

71 Kanoa St
#2
Wailuku, HI 96793

Organizations & group practices 7

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1679834741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201228",
            "telephone_number": "808-334-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1292 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201228",
            "telephone_number": "808-334-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2180 Main St",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967931625",
            "country_code": "US",
            "telephone_number": "808-242-6464",
            "fax_number": "808-243-2321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUEN",
        "first_name": "GINA",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "1420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1292 Waianuenue Ave",
            "city": "Hilo",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967201228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.