Jasmine Wagner, DNP, APRN-RX, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Waipahu, HI
NPI 1821736299 · NPPES record last updated Sep 13, 2024
Key facts
- NPI
- 1821736299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3651 (HI)
- Practice address
- 94-229 Waipahu Depot St Ste 404
Waipahu, HI 96797-3034 - Phone
- (808) 600-5197
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3651 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Prescribe Inc | Current |
Accepting new patients | |
| Alohi Clinic, LLC | Current |
Accepting new patients |
Locations
98-1079 Moanalua Rd
Ste 350
Aiea, HI 96701
Phone (808) 487-2277
1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707
94-229 Waipahu Depot St
Ste 308
Waipahu, HI 96797
Phone (808) 533-2224
Interoperability endpoints
- jasmine.wagner@340371529072644.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3651 | HI | Yes |
Addresses
Primary practice location
94-229 Waipahu Depot St Ste 404
Waipahu, HI 96797-3034
Mailing address
94-229 Waipahu Depot St Ste 308
Waipahu, HI 96797-3033
Phone (808) 582-8881
Other practice location 1
6600 Kalanianaole Hwy Ste 114A
Honolulu, HI 96825-1281
Phone (808) 888-4800
Other providers in Waipahu, HI
- Rized Stephen Billones Visaya
- Vision Care Center of Hawaii LLC
- Jonelle Marie Haruno Visitacion
- Leanne Visitacion
- Shanoa Wagner-Bright
- Richelle Keiko Puanani Wai
- Waianae District Comprehensive Health and Hospital Board, Inc
- Waianae District Comprehensive Health and Hospital Board, Incorporated
- Waipahu Dentists LLC
- Waipahu Physical Therapy, Inc
All providers in Waipahu, 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 Sep 13, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.