Individual provider Active NPI

Ana Meliza Roxas Fortunado, APRN, FNP-C

  • Family Nurse Practitioner
  • Ewa Beach, HI
National Provider Identifier
1821954769
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-5650 Issued in HI
Practice address
91-1324 Ipuolono St
Ewa Beach, HI 96706-5898
Phone
(808) 722-8747
NPI assigned
Jan 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-5650 HI Primary

Addresses

Primary practice location

91-1324 Ipuolono St
Ewa Beach, HI 96706-5898

Mailing address

91-1324 Ipuolono St
Ewa Beach, HI 96706-5898

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
I20260520000755 HI Practitioner - Nurse Practitioner 9133698061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Kidney Specialists LLPGroup PAC ID 5698759066, 29 clinicians

Practice addresses (Care Compare)

1520 Liliha St
Suite 601
Honolulu, HI 96817-3564
Phone (808) 523-0445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-5650HIMDFamily Nurse Practitioner

Organizations & group practices 1

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": "1767398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1821954769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1324 IPUOLONO ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1324 IPUOLONO ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065898",
            "telephone_number": "808-722-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNADO",
        "first_name": "ANA MELIZA",
        "middle_name": "ROXAS",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-03",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-5650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

Verify at the official NPI Registry.