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JACQUELINE LYNETTE DE LA GARZA FNP-C
NPI 1063111391
Nurse Practitioner - Family in Kamuela, HI

Active since February 27, 2023PECOS EnrolledAccepts Medicare Assignment
67-1123 MAMALAHOA HWY STE 120124, KAMUELA, HI 96743(808) 881-4710 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 2, 2024, May 22, 2023, Feb 27, 2023 (3 updates tracked since 2023).

About Jacqueline Lynette De La Garza Fnp-c NPPES

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

JACQUELINE LYNETTE DE LA GARZA FNP-C (NPI 1063111391) is an individual family provider in Kamuela, Hawaii, licensed in Hawaii (APRN-3777) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with North Hawaii Community Hospital, Inc, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1063111391
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE LYNETTE DE LA GARZACredential: FNP-C
Location Address67-1123 MAMALAHOA HWY STE 120124Kamuela, HI 96743-8451
Mailing AddressGeneral DeliveryVolcano, HI 96785-9999 · (808) 430-0654
Phone(808) 881-4710
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 27, 2023
Last NPPES UpdateJuly 2, 20243 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1063111391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in HI · APRN-3777
Also ListedRegistered NurseTaxonomy 163W00000X · License RN-106817 (HI)
67-1123 MAMALAHOA HWY STE 120124, Kamuela, HI 96743
Open in Google Maps ↗

Other Identifiers 2

OtherRN-106817HI · Hi Rn Licensure
OtherAPRN-3777HI · Aprn Licensure

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

Jacqueline Lynette De La Garza Fnp-c 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 ID6305294737
PECOS Enrollment IDI20231127000596
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Hawaii Community Hospital, Inc

Acute Care Hospitals · Kamuela, HI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120028
Location67 1125 Mamalahoa HighwayKamuela, HI 96743 · Hawaii County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96743 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.

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 De La Garza's NPI number?

The NPI number for Jacqueline De La Garza is 1063111391. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Jacqueline De La Garza located?

Jacqueline De La Garza practices at 67-1123 Mamalahoa Hwy Ste 120124, Kamuela, HI 96743. The listed phone number is (808) 881-4710.

What is Jacqueline De La Garza's specialty?

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

Is Jacqueline De La Garza enrolled in Medicare?

Yes. Jacqueline De La Garza 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 Jacqueline De La Garza accept?

Health plans from HMSA list Jacqueline De La Garza 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.

Is Jacqueline De La Garza affiliated with any hospitals?

According to CMS data, Jacqueline De La Garza is affiliated with North Hawaii Community Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Jacqueline De La Garza was last updated on July 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.