JARED MEDEIROS
NPI 1043617103
Nurse Practitioner - Family in Lanai City, HI

Active since December 04, 2014PECOS EnrolledAccepts Medicare Assignment
478 LAUHALA PLACE, LANAI CITY, HI 96763(808) 565-6919(808) 565-9111 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jared Medeiros NPPES

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

JARED MEDEIROS (NPI 1043617103) is an individual family provider in Lanai City, Hawaii, licensed in Hawaii (APRN-1845) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1043617103
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJARED MEDEIROS
Location Address478 LAUHALA PLACELanai City, HI 96763
Mailing AddressPo Box 630142Lanai City, HI 96763-0142
Fax(808) 565-9111
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 4, 2014
NPI 1043617103 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 · APRN-1845
478 LAUHALA PLACE, Lanai City, HI 96763

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jared Medeiros is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466773361
PECOS Enrollment IDI20150603002947
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 96763 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

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

Dietitian, Registered
478 LAUHALA PLACE, LANAI COMMUNITY HEALTH CENTER
LANAI CITY, HI 96763

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 Jared Medeiros's NPI number?

The NPI number for Jared Medeiros is 1043617103. It was assigned to this individual provider in the NPPES registry on December 4, 2014.

Where is Jared Medeiros located?

Jared Medeiros practices at 478 Lauhala Place, Lanai City, HI 96763. The listed phone number is (808) 565-6919.

What is Jared Medeiros's specialty?

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

Is Jared Medeiros enrolled in Medicare?

Yes. Jared Medeiros is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jared Medeiros accept?

Health plans from HMSA list Jared Medeiros as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jared Medeiros was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.