KRISTIA LEANNE POLINTAN DIZON FUENTES APRN-AGPCNP
NPI 1043802317
Nurse Practitioner - Gerontology in Honolulu, HI

Active since February 09, 2021PECOS EnrolledAccepts Medicare Assignment
680 IWILEI RD STE 660, HONOLULU, HI 96817(808) 924-8255(828) 791-8049 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 23, 2026, Feb 9, 2021 (2 updates tracked since 2021).

About Kristia Leanne Polintan Dizon Fuentes Aprn-agpcnp NPPES

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

KRISTIA LEANNE POLINTAN DIZON FUENTES APRN-AGPCNP (NPI 1043802317) is an individual gerontology provider in Honolulu, Hawaii, licensed in Hawaii (3124) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043802317
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKRISTIA LEANNE POLINTAN DIZON FUENTESCredential: APRN-AGPCNP
Location Address680 IWILEI RD STE 660Honolulu, HI 96817-5392
Mailing Address680 Iwilei Rd Ste 660Honolulu, HI 96817-5392 · (808) 924-8255 · Fax (828) 791-8049
Fax(828) 791-8049
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 9, 2021
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
NPI 1043802317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in HI · 3124
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN-3124 (HI)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 3124 (HI)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 3124 (HI)
680 IWILEI RD STE 660, Honolulu, HI 96817

Other Names 1

Former Name (1)Kristia Leanne Dizon Aprn-rx

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

Kristia Leanne Polintan Dizon Fuentes Aprn-agpcnp 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 ID6800262585
PECOS Enrollment IDI20221020002423
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
23 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96817 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 14

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

In Home Supportive Care
680 IWILEI RD STE 660
HONOLULU, HI 96817
Internal Medicine (Hospice and Palliative Medicine)
680 IWILEI RD STE 660
HONOLULU, HI 96817
Hospice Care, Community Based
680 IWILEI RD STE 660
HONOLULU, HI 96817
Internal Medicine
680 IWILEI RD STE 660
HONOLULU, HI 96817
Internal Medicine
680 IWILEI RD STE 660
HONOLULU, HI 96817
Nurse Practitioner (Family)
680 IWILEI RD STE 660
HONOLULU, HI 96817
Nurse Practitioner (Family)
680 IWILEI RD STE 660
HONOLULU, HI 96817
Internal Medicine (Geriatric Medicine)
680 IWILEI RD STE 660
HONOLULU, HI 96817

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043802317, enumerated as an "individual" on February 09, 2021.

The provider is located at 680 IWILEI RD STE 660 HONOLULU, HI 96817 and the phone number is (808) 924-8255.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: HMSA. Please consult your insurance carrier or call the provider to verify.