Anthone T Jeon, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN-2749 Issued in HI

Practice address

1357 Kapiolani Blvd Ste 1460
Honolulu, HI 96814-4509

Phone

(808) 942-1852

Fax

(808) 943-8732

NPI assigned

Aug 14, 2019

Last updated

Aug 14, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Malama Kidney Center, LLC.Group PAC ID 1759710585, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anthone.jeon@189543753515012.direct.elationemr.com

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.

• Malama Kidney Center, LLC

  • Community Health Nurse Practitioner
  • Honolulu, HI
  • NPI 1699329839
  Medicare reassignment Care Compare group NPD
• Integrated Health Hawaii, LLC

  dba Integrated Health Hawaii

  • Case Management Agency
  • Honolulu, HI
  • NPI 1124669031
  NPD (past)

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1871149948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1107 KAILIPOLIPO ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066506",
            "telephone_number": "916-704-3566",
            "fax_number": "808-943-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 KAPIOLANI BLVD STE 1460",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144509",
            "telephone_number": "808-942-1852",
            "fax_number": "808-943-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "ANTHONE",
        "middle_name": "T",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "HI",
            "license": "APRN-2749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajeon@pmaghawaii.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1357 Kapiolani Blvd Ste 1460",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968144509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenny Ebesutani PSYD LLC
• Jenny Welham, MD LLC
• Jasmin Sue Jensen, M.D.
• Jordan M. Jensen, MD
• Mark Jenssen
• Ji Eun Jeon, FNP-BC
• Jeong H Kim, MD, PLLC
• Mae P.M. Jeremiah-Wong
• Micaiah Jermon
• Jerry M Brennan PHD Inc

• Primary Care Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Primary Care Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.