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MRS. JACQUELINE YVONNE CHACON ANP
NPI 1023376779
Nurse Practitioner - Family in Ewa Beach, HI

Active since May 01, 2012PECOS Enrolled
91-896 MAKULE RD, SUITE 102, EWA BEACH, HI 96706(808) 689-4414(808) 689-7115 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jacqueline Yvonne Chacon Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACQUELINE YVONNE CHACON ANP (NPI 1023376779) is an individual family provider in Ewa Beach, Hawaii, licensed in Hawaii (1370) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023376779
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JACQUELINE YVONNE CHACONCredential: ANP
Location Address91-896 MAKULE RD, SUITE 102Ewa Beach, HI 96706-2543
Mailing Address91-896 Makule Rd, Suite 102Ewa Beach, HI 96706-2543 · (808) 689-4414 · Fax (808) 689-7115
Phone(808) 689-4414
Fax(808) 689-7115
Sole ProprietorNo
Enumeration DateMay 1, 2012
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1023376779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in HI · 1370
91-896 MAKULE RD, Ewa Beach, HI 96706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacqueline Yvonne Chacon Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALFONSO F JIMENEZ
Clinic/Center
91-896 MAKULE RD, SUITE 102
EWA BEACH, HI 96706
Honolulu County (808) 689-4414
MACRINA U VICERRA-JAENA APRN
Nurse Practitioner (Family)
91-896 MAKULE RD, SUITE 102
EWA BEACH, HI 96706
Honolulu County (808) 689-4414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Chacon's NPI number?

The NPI number for Jacqueline Chacon is 1023376779. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Jacqueline Chacon located?

Jacqueline Chacon practices at 91-896 Makule Rd Suite 102, Ewa Beach, HI 96706. The listed phone number is (808) 689-4414.

What is Jacqueline Chacon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacqueline Chacon enrolled in Medicare?

Yes. Jacqueline Chacon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Chacon was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.