Individual provider Active NPI

Joycelyn Chun

  • Physician Assistant
  • Honolulu, HI
National Provider Identifier
1760037089
Registry record updated Apr 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
277 Ohua Ave
Honolulu, HI 96815-6612
Phone
(808) 922-4787
NPI assigned
Aug 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

277 Ohua Ave
Honolulu, HI 96815-6612

Mailing address

935 Makahiki Way
Honolulu, HI 96826-2896
Phone (808) 922-4787

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
I20200128000737 HI Practitioner - Physician Assistant 4880029578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waikiki HealthGroup PAC ID 9335058536, 27 clinicians

Practice addresses (Care Compare)

277 Ohua Ave
Honolulu, HI 96815-3643

845 22ND Ave
Suite 5
Honolulu, HI 96816-4521
Phone (808) 734-2034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Waikiki Health CurrentSince Dec 1, 2019 Accepting new patients
Waikiki Health Past Accepting new patients

Locations

277 Ohua Ave
Honolulu, HI 96815
Phone (808) 791-9355

935 Makahiki Way
Honolulu, HI 96826
Phone (808) 739-7346

845 22nd Ave
#5
Honolulu, HI 96816
Phone (808) 734-2034

Interoperability endpoints

  • Direct secure messaging: joycelyn.chun.1@15051.direct.athenahealth.com

Organizations & group practices 2

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": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587772800000",
    "number": "1760037089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 MAKAHIKI WAY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262896",
            "telephone_number": "808-922-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 OHUA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968156612",
            "telephone_number": "808-922-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "JOYCELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-04",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.