MRS. JESSICA SAGE BLANK MENDONSA PA-C
NPI 1124458930
Physician Assistant in Wailuku, HI

Active since November 14, 2013
2120 KAOHU ST, WAILUKU, HI 96793(808) 377-4734(808) 377-4734 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2022, May 13, 2019, Dec 18, 2018 (3 updates tracked since 2018).

About Mrs. Jessica Sage Blank Mendonsa Pa-c NPPES

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

MRS. JESSICA SAGE BLANK MENDONSA PA-C (NPI 1124458930) is an individual physician assistant in Wailuku, Hawaii, licensed in Hawaii (AMD588) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1124458930
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JESSICA SAGE BLANK MENDONSACredential: PA-C
Location Address2120 KAOHU STWailuku, HI 96793-2205
Mailing Address2120 Kaohu StWailuku, HI 96793-2205 · (808) 377-4734
Fax(808) 377-4734
Sole ProprietorNo
Enumeration DateNovember 14, 2013
Last NPPES UpdateJanuary 27, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2022
NPI 1124458930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in HI · AMD588
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedHealth EducatorTaxonomy 174H00000X
2120 KAOHU ST, Wailuku, HI 96793

Accepted Insurance

Other Providers at the Same Location NPPES

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

General Practice
2120 KAOHU ST
WAILUKU, HI 96793

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 Jessica Mendonsa's NPI number?

The NPI number for Jessica Mendonsa is 1124458930. It was assigned to this individual provider in the NPPES registry on November 14, 2013.

Where is Jessica Mendonsa located?

Jessica Mendonsa practices at 2120 Kaohu St, Wailuku, HI 96793. The listed phone number is (808) 377-4734.

What is Jessica Mendonsa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Jessica Mendonsa accept?

Health plans from HMSA list Jessica Mendonsa 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 Jessica Mendonsa was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.