MS. JADE FUNTANILLA KEKAUALUA FNP
NPI 1235823857
Nurse Practitioner - Family in Portland, OR
About Ms. Jade Funtanilla Kekaualua Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JADE FUNTANILLA KEKAUALUA FNP (NPI 1235823857) is an individual family provider in Portland, Oregon, licensed in Oregon (10018910) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Tualatin.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Ms. Jade Funtanilla Kekaualua Fnp 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORProvidence Portland Medical Center
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97225
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 Jade Kekaualua's NPI number?
The NPI number for Jade Kekaualua is 1235823857. It was assigned to this individual provider in the NPPES registry on June 6, 2023.
Where is Jade Kekaualua located?
Jade Kekaualua practices at 9205 SW Barnes Rd Ste 861, Portland, OR 97225. The listed phone number is (503) 216-1234.
What is Jade Kekaualua's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jade Kekaualua enrolled in Medicare?
Yes. Jade Kekaualua 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 Jade Kekaualua accept?
Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jade Kekaualua 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 Jade Kekaualua affiliated with any hospitals?
According to CMS data, Jade Kekaualua is affiliated with Providence St Vincent Medical Center and Providence Portland Medical Center.
When was this NPI record last updated?
The NPPES record for Jade Kekaualua was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
