JASON ROMMEL GUILLERMO PUREZA APRN, AG-ACNP
NPI 1104275106
Nurse Practitioner - Acute Care in Honolulu, HI

Q: What is Jason Pureza's NPI number?

The NPI number for Jason Pureza is 1104275106. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Q: What is Jason Pureza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jason Pureza was last updated on June 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 09, 2016PECOS EnrolledAccepts Medicare Assignment

1301 PUNCHBOWL ST, HONOLULU, HI 96813(808) 227-3588 Get Directions Write a Review

NPPES record last updated: June 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jason Rommel Guillermo Pureza Aprn, Ag-acnp NPPES

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

JASON ROMMEL GUILLERMO PUREZA APRN, AG-ACNP (NPI 1104275106) is an individual acute care provider in Honolulu, Hawaii, licensed in Hawaii (APRN-2092) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104275106

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameJASON ROMMEL GUILLERMO PUREZACredential: APRN, AG-ACNP

Location Address1301 PUNCHBOWL STHonolulu, HI 96813-2402

Mailing Address520 Lunalilo Home Rd Unit 4401Honolulu, HI 96825-1725 · (808) 227-3588

Phone(808) 227-3588

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 9, 2016

✔ NPI 1104275106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in HI · APRN-2092

1301 PUNCHBOWL ST, Honolulu, HI 96813

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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 and accepts Medicare assignment

Jason Rommel Guillermo Pureza Aprn, Ag-acnp 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 ID5698061570

PECOS Enrollment IDI20160831002333

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120001

Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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 20

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

NISHAL BRAHMBHATT MD

Internal Medicine (Critical Care Medicine)