Active NPI
Jennifer Tucker, NP
- Acute Care Nurse Practitioner
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 431077
- Practice address
- 1301 Punchbowl St
Honolulu, HI 96813-2402 - Phone
- (301) 351-2353
- NPI assigned
- Feb 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 431077 | NY | Primary |
Addresses
Primary practice location
1301 Punchbowl St
Honolulu, HI 96813-2402
Mailing address
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (301) 351-2353
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1301 Punchbowl St
Honolulu, HI 96813-2499
1380 Lusitana St
Honolulu, HI 96813-2448
550 S Beretania St
Honolulu, HI 96813-2496
67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 881-4400
91 -2139 Fort Weaver Rd
Ewa Beach, HI 96706-3608
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.05 of 100
- Quality
- 89.81
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.05 of 100
- Quality
- 89.81
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 431077 | NY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Hawaii Community Hospital, Inc. | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| Queens University Medical Group | Current | Accepting new patients | |
| The Queen'S Medical Center | Current | Accepting new patients | |
| Queen Emma Clinics | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| The Queens Medical Center - Progressive Care Unit | Past | Accepting new patients |
Locations
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
550 S Beretania St
Ste 601
Honolulu, HI 96813
Phone (808) 691-8877
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
550 S Beretania St
Ste 610
Honolulu, HI 96813
Phone (808) 218-7900
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kamuela, HI
- NPI 1033190319
-
- Clinic/Center
- Honolulu, HI
- NPI 1528097094
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
-
- Skilled Nursing Facility
- Honolulu, HI
- NPI 1851389365
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1972042604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 PUNCHBOWL ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132402",
"telephone_number": "301-351-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PUNCHBOWL ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132402",
"telephone_number": "301-351-2353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "JENNIFER",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-14",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "431077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.