Individual provider Active NPI

Megan Monk Ledezma Vera, APRN

  • Family Nurse Practitioner
  • Waianae, HI
National Provider Identifier
1942881339
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-3589 Issued in HI
Practice address
86-120 Farrington Hwy Ste C305A
Waianae, HI 96792-3072
Phone
(808) 697-3133
Fax
(808) 697-3343
NPI assigned
Apr 16, 2021
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-105387 HI
Registered Nurse 163W00000X 154155 KS
Family Nurse Practitioner 363LF0000X 80322 KS
Family Nurse Practitioner 363LF0000X APRN-3589 HI Primary

Addresses

Primary practice location

86-120 Farrington Hwy Ste C305A
Waianae, HI 96792-3072

Mailing address

86-120 Farrington Hwy Ste C305A
Waianae, HI 96792-3072
Phone (808) 697-3133

Other practice location 1

599 Farrington Hwy Ste 100
Kapolei, HI 96707-2028
Phone (808) 697-3800

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
I20231115001954 HI Practitioner - Nurse Practitioner 8729489562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

599 Farrington Hwy
Kapolei, HI 96707-2028
Phone (808) 697-3800

86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154155KSMDRegistered Nurse
APRN-3583HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waianae District Comprehensive Health and Hospital Board, Inc Current Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc CurrentSince Jul 1, 2023 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Jul 1, 2023 Accepting new patients

Locations

599 Farrington Hwy
Ste 100
Kapolei, HI 96707
Phone (808) 674-2930

86-120 Farrington Hwy
Ste C305A
Waianae, HI 96792
Phone (808) 697-3133

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

89-102 Farrington Hwy
Waianae, HI 96792
Phone (808) 380-0626

Interoperability endpoints

  • Direct secure messaging: megan.ledezmavera.p1@direct.wcchc.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1942881339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-120 FARRINGTON HWY STE C305A",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923072",
            "telephone_number": "808-697-3133",
            "fax_number": "808-697-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-120 FARRINGTON HWY STE C305A",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923072",
            "telephone_number": "808-697-3133",
            "fax_number": "808-697-3343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Farrington Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967072028",
            "country_code": "US",
            "telephone_number": "808-697-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDEZMA VERA",
        "first_name": "MEGAN",
        "middle_name": "MONK",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-105387",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "154155",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "80322",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.