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JESSICA EMILY HENNEN PA-C
NPI 1205436011
Physician Assistant in Mililani, HI

Active since October 30, 2020PECOS EnrolledAccepts Medicare Assignment
95-390 KUAHELANI AVE STE J-1, MILILANI, HI 96789(808) 909-3252(808) 909-3894 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2026, Oct 30, 2020 (2 updates tracked since 2020).

About Jessica Emily Hennen Pa-c NPPES

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

JESSICA EMILY HENNEN PA-C (NPI 1205436011) is an individual physician assistant in Mililani, Hawaii, licensed in Hawaii (AMD-1585) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205436011
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA EMILY HENNENCredential: PA-C
Location Address95-390 KUAHELANI AVE STE J-1Mililani, HI 96789-1192
Mailing Address91-1086 Kekaiholo StEwa Beach, HI 96706-6214 · (808) 909-3252 · Fax (808) 909-3894
Phone(808) 909-3252
Fax(808) 909-3894
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 30, 2020
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1205436011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in HI · AMD-1585✔ Licensed in NH · EL31989✔ Licensed in ME · PA2112
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.
95-390 KUAHELANI AVE STE J-1, Mililani, HI 96789
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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

Jessica Emily Hennen Pa-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 ID8426455981
PECOS Enrollment IDI20251104001770
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96789 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
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
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 3

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

LOMIOLA HAWAII LLC
Massage Therapist
95-390 KUAHELANI AVE STE J-1
MILILANI, HI 96789
Honolulu County (808) 751-2239
DR. SUZANNA LEE LEWIS GRIMA M.D.
Dermatology
95-390 KUAHELANI AVE STE J-1
MILILANI, HI 96789
Honolulu County (808) 909-3252
GRIMA DERMATOLOGY AND SURGERY INC
Dermatology
95-390 KUAHELANI AVE STE J-1
MILILANI, HI 96789
Honolulu County (808) 909-3252

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 Hennen's NPI number?

The NPI number for Jessica Hennen is 1205436011. It was assigned to this individual provider in the NPPES registry on October 30, 2020.

Where is Jessica Hennen located?

Jessica Hennen practices at 95-390 Kuahelani Ave Ste J-1, Mililani, HI 96789. The listed phone number is (808) 909-3252.

What is Jessica Hennen's specialty?

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

Is Jessica Hennen enrolled in Medicare?

Yes. Jessica Hennen 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.

When was this NPI record last updated?

The NPPES record for Jessica Hennen was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.