Macrina U Vicerra-Jaena, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN 455 Issued in HI

Practice address

91-896 Makule Rd
Suite 102
Ewa Beach, HI 96706-2526

Phone

(808) 689-4414

Fax

(808) 689-7115

NPI assigned

May 18, 2006

Last updated

Aug 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Venture Medical 21 Inc

  • Clinic/Center
  • Ewa Beach, HI
  • NPI 1851647952
  Medicare reassignment NPD
• Alfonso F Jimenez

  • Clinic/Center
  • Ewa Beach, HI
  • NPI 1821290917
  NPD (past)
• Anne a Tanabe MD Inc

  dba Skinny Dip Skin Clinic

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1104916196
  NPD (past)
• Wahiawa Family Practice Clinic Inc

  • Clinic/Center
  • Wahiawa, HI
  • NPI 1386753903
  NPD (past)

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

• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1992758015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-896 MAKULE RD",
            "address_2": "SUITE 102",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062526",
            "telephone_number": "808-689-4414",
            "fax_number": "808-689-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-896 MAKULE RD",
            "address_2": "SUITE 102",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062526",
            "telephone_number": "808-689-4414",
            "fax_number": "808-689-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICERRA-JAENA",
        "first_name": "MACRINA",
        "middle_name": "U",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN 455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "H54601",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "H54603",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vegafit Elite Fitness and Training
• Rashauna P.J.K. Vegas, MSW
• Marissa Vellichor
• Venture ABA Hawaii LLC
• Venture Medical 21 Inc
• Ryan Amos Viernes
• Skylar Sterling Vieselmeyer, DC
• Hilda Vigil
• Barbara Vili-Alofa
• Leeann Cho Villa

• Family Nurse Practitioner in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.