Individual provider Active NPI

Jenean Noelani Garcia, APRN

  • Nurse Practitioner
  • Kahului, HI
National Provider Identifier
1740783273
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1745 Issued in HI
Practice address
165 Maa St
Kahului, HI 96732-3603
Phone
(808) 446-7120
Fax
(808) 446-7121
NPI assigned
Mar 12, 2018
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1745 HI Primary
Registered Nurse 163W00000X 66003 HI

Addresses

Primary practice location

165 Maa St
Kahului, HI 96732-3603

Mailing address

165 Maa St
Kahului, HI 96732-3603
Phone (808) 446-7120

Other practice location 1

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 442-5503

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
I20180521002481 HI Practitioner - Nurse Practitioner 0941565006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maui Lani Physicians and Surgeons LLCGroup PAC ID 0547401317, 3 clinicians

Practice addresses (Care Compare)

165 Maa St
Kahului, HI 96732-3603
Phone (808) 446-7120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66003HIMDRegistered Nurse
1745HIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greigh I Hirata MD Inc PastSince Mar 28, 2021 Accepting new patients
The Women's Health Center of Maui, LLC PastSince Jun 18, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jenean.garcia.1@18081.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1740783273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MAA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323603",
            "telephone_number": "808-446-7120",
            "fax_number": "808-446-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323603",
            "telephone_number": "808-446-7120",
            "fax_number": "808-446-7121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Mahalani St",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932526",
            "country_code": "US",
            "telephone_number": "808-442-5503",
            "fax_number": "808-442-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JENEAN",
        "middle_name": "NOELANI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "1745",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "66003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.