Individual provider Active NPI

Gulnara Nadeau

  • Family Nurse Practitioner
  • Ninole, HI
National Provider Identifier
1851930630
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-2784 Issued in HI
Practice address
34 1370 Honomainoa Rd
Ninole, HI 96773
Phone
(808) 756-2357
NPI assigned
Dec 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN-2784 HI Primary

Addresses

Primary practice location

34 1370 Honomainoa Rd
Ninole, HI 96773

Mailing address

PO Box 14
Ninole, HI 96773-0014

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL gmail

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
I20210604000011 HI Practitioner - Nurse Practitioner 6204235617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecare Hawaii LLCGroup PAC ID 0648693051, 8 clinicians

Practice addresses (Care Compare)

633 Ponahawai St
Suite 101
Hilo, HI 96720-7601
Phone (808) 885-3627

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Hilo, HI, CCN 127312
  • Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ecare Hawaii LLC Single Specialty CurrentSince Aug 23, 2022 Accepting new patients

Locations

633 Ponahawai St
Ste 101
Hilo, HI 96720
Phone (808) 885-3627

633 Ponahawai St
Ste 102
Hilo, HI 96720
Phone (808) 932-3740

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1851930630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "NINOLE",
            "state": "HI",
            "postal_code": "967730014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 1370 HONOMAINOA RD",
            "city": "NINOLE",
            "state": "HI",
            "postal_code": "96773",
            "telephone_number": "808-756-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "GULNARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gmail",
            "affiliation": "N",
            "address_1": "1370 Honomainoa Rd",
            "city": "Ninole",
            "state": "HI",
            "country_code": "US",
            "postal_code": "96773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ninole, HI

Sources for this page

Verify at the official NPI Registry.