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

Q: What is Kristia Leanne Fuentes's NPI number?

The NPI number for Kristia Leanne Fuentes is 1043802317. It was assigned to this individual provider in the NPPES registry on February 9, 2021. The provider is also known as Kristia Leanne Dizon Aprn-Rx.

Q: What is Kristia Leanne Fuentes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

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: August 16, 2026.

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

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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

Phone(808) 924-8255

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

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Other Names 1

Former Name (1)Kristia Leanne Dizon Aprn-rx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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 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.

NAVIAN HAWAII COMMUNITY HEALTH PROVIDERS INC

Internal Medicine (Geriatric Medicine)