BEVERLY ESPLANA TUMBAGA APRN
NPI 1275964223
Nurse Practitioner - Family in Waimea, HI

Active since December 02, 2013PECOS EnrolledAccepts Medicare Assignment
61.05/100
CMS Quality Rating
4643 WAIMEA CANYON DR., WAIMEA, HI 96796(180) 833-8831 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Esplana Tumbaga Aprn NPPES

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

BEVERLY ESPLANA TUMBAGA APRN (NPI 1275964223) is an individual family provider in Waimea, Hawaii, licensed in Hawaii (APRN-1537) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275964223
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBEVERLY ESPLANA TUMBAGACredential: APRN
Location Address4643 WAIMEA CANYON DR.Waimea, HI 96796
Mailing AddressPo Box 669Waimea, HI 96796-0669 · (808) 338-8311 · Fax (808) 338-0225
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 2, 2013
Last NPPES UpdateMarch 12, 2021
NPPES CertifiedMarch 12, 2021
NPI 1275964223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in HI · APRN-1537 Licensed in HI · RX-503
4643 WAIMEA CANYON DR., Waimea, HI 96796

Other Names 1

Former Name (1)Beverly Esplana Mangayayam

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

Beverly Esplana Tumbaga Aprn 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 ID3476786153
PECOS Enrollment IDI20140502001880
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 3

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

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Kauai Veterans Memorial Hospital

Critical Access Hospitals · Waimea, HI
OwnershipGovernment - State
CMS Certification Number121300
Location4643 Waimea Canyon DriveWaimea, HI 96796 · Kauai County
Emergency services Birthing friendly

Samuel Mahelona Memorial Hospital

Critical Access Hospitals · Kapaa, HI
OwnershipGovernment - State
CMS Certification Number121306
Location4800 Kawaihau RoadKapaa, HI 96746 · Kauai County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96796 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

61.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality29.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Pharmacy (Community/Retail Pharmacy)
4643 WAIMEA CANYON DR.
WAIMEA, HI 96796
Hospitalist
4643 WAIMEA CANYON DR.
WAIMEA, HI 96796

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 Beverly Tumbaga's NPI number?

The NPI number for Beverly Tumbaga is 1275964223. It was assigned to this individual provider in the NPPES registry on December 2, 2013. The provider is also known as Beverly Esplana Mangayayam.

Where is Beverly Tumbaga located?

Beverly Tumbaga practices at 4643 Waimea Canyon Dr., Waimea, HI 96796. The listed phone number is (180) 833-8831.

What is Beverly Tumbaga's specialty?

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

Is Beverly Tumbaga enrolled in Medicare?

Yes. Beverly Tumbaga 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 Beverly Tumbaga accept?

Health plans from HMSA list Beverly Tumbaga 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 Beverly Tumbaga affiliated with any hospitals?

According to CMS data, Beverly Tumbaga is affiliated with Wilcox Memorial Hospital, Kauai Veterans Memorial Hospital and Samuel Mahelona Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Beverly Tumbaga was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.