Individual provider Active NPI

Grisel M Reyes-Dennis, FNP-BC

  • Family Nurse Practitioner
  • Kapolei, HI
National Provider Identifier
1902366099
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2499 Issued in HI
Practice address
91-590 Farrington Highway
Kapolei, HI 96707
Phone
(866) 389-2727
NPI assigned
Mar 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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 2499 HI Primary

Addresses

Primary practice location

91-590 Farrington Highway
Kapolei, HI 96707

Mailing address

91-590 Farrington Highway
Kapolei, HI 96707-2834

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
I20190515002828 HI Practitioner - Nurse Practitioner 2264775220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.68 of 100Reported as group
Quality
76.52
Improvement activities
40
Cost
95.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2499HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University Clinical Education & Research Associates CurrentSince Oct 17, 2023 Accepting new patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince Apr 17, 2019 Accepting new patients
University Clinical Education & Research Associates CurrentSince Oct 17, 2023 Accepting new patients

Locations

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

677 Ala Moana Blvd
Ste 1001
Honolulu, HI 96813

4211 Waialae Ave
Honolulu, HI 96816
Phone (808) 732-0781

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1902366099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-590 FARRINGTON HIGHWAY",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-590 FARRINGTON HIGHWAY",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "96707",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-DENNIS",
        "first_name": "GRISEL",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2021-05-04",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

Verify at the official NPI Registry.