Jennifer Kananimauloa Grune, DNP, APRN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Keaau, HI
NPI 1720599640 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1720599640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN-2244 (HI)
- Practice address
- 16-590 Old Volcano Rd Ste B
Keaau, HI 96749-8158 - Phone
- (808) 333-3450
- Fax
- (808) 930-4721
- NPI assigned
- Oct 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hilo Urgent Care Center LLC
Practice addresses (Care Compare)
16 -590 Old Volcano Rd
Suite B
Keaau, HI 96749-8158
Phone (808) 333-3450
670 Kekuanaoa St
Hilo, HI 96720-4405
Phone (808) 969-3051
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180305001899 | HI | Practitioner - Nurse Practitioner | 3072873421 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Grune DNP FNP-BC | Family | Current |
Accepting new patients |
| Hilo Urgent Care Center, LLC | Current |
Accepting new patients |
Locations
670 Kekuanaoa St
Hilo, HI 96720
Phone (808) 961-2609
16-590 Old Volcano Rd
Ste B
Keaau, HI 96749
Phone (808) 333-3450
16-590 Old Volcano Rd
Ste Bc
Keaau, HI 96749
Phone (808) 333-3450
16-590 Old Volcano Rd
Keaau, HI 96749
Phone (808) 966-7942
16-566 Keaau Pahoa Rd
#188342
Keaau, HI 96749
Interoperability endpoints
- jennifer.grune.1@11020.direct.athenahealth.com
- parkwellness.jennifegrune@144534.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-2244 | HI | Yes |
Addresses
Primary practice location
16-590 Old Volcano Rd Ste B
Keaau, HI 96749-8158
Mailing address
16-590 Old Volcano Rd Ste B
Keaau, HI 96749-8158
Phone (808) 333-3450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 822628 | Medicaid | HI |
Other providers in Keaau, HI
- Ebrajean Uilani Silva Fune
- Desiree Furstenwerth
- Jun German Jr.
- Tiphany Anne Gillett
- Kawehi Grimmel
- Wesley Hagio
- Hale Pu'Uhonua, LLC
- Jessica Haligowski
- Rachael Lorraine Hasner
- Debbie K Hawryliak
All providers in Keaau, HI · Family Nurse Practitioner in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.