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STEFANY IRASEMA O'CONNELL
NPI 1386378479
Nurse Practitioner - Family in Jbphh, HI

Active since July 13, 2022PECOS EnrolledAccepts Medicare Assignment
480 CENTRAL AVE BLDG 1750, JBPHH, HI 96860(888) 683-2778 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2023, Jul 19, 2022, Jul 13, 2022 (3 updates tracked since 2022).

About Stefany Irasema O'connell NPPES

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

STEFANY IRASEMA O'CONNELL (NPI 1386378479) is an individual family provider in Jbphh, Hawaii, licensed in California (95013251) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Imperial Beach, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1386378479
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEFANY IRASEMA O'CONNELL
Location Address480 CENTRAL AVE BLDG 1750Jbphh, HI 96860-4908
Mailing Address949 Palm AveImperial Beach, CA 91932-1503 · (619) 429-3733
Phone(888) 683-2778
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 13, 2022
Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1386378479 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
License✔ Licensed in CA · 95013251
480 CENTRAL AVE BLDG 1750, Jbphh, HI 96860
Open in Google Maps ↗

Secondary Practice Location 1

Location 1949 Palm AveImperial Beach, CA 91932-1503 · Phone (619) 429-3733

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

Stefany Irasema O'connell 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 ID547637647
PECOS Enrollment IDI20221118002635
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 96860 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 12

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

DR. FREDERICK JOHN LANDRO M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860
Honolulu County (808) 474-4242
MS. CYNTHIA ANN DAVIS PA-C
Physician Assistant (Medical)
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860
Honolulu County (808) 474-4242
JONI MURAI RPH
Pharmacist
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860
Honolulu County (999) 999-9999
MR. MICHAEL KEONISABINO APERTO-APODACA SFIDC
Military Health Care Provider (Independent Duty Corpsman)
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860
Honolulu County (808) 745-0953
MRS. TONIA MCGHEE RN
Registered Nurse (Administrator)
480 CENTRAL AVE BLDG 1750
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4242
MR. TIMOTHY PETER BRENDER PPCNP-BC
Nurse Practitioner (Pediatrics)
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860
Honolulu County (808) 471-5171
WESLEY PALMER M.D.
Family Medicine
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860
Honolulu County (808) 474-4242
DEREK M WILLS
Physician Assistant
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860
Honolulu County (808) 474-4242

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 Stefany O'connell's NPI number?

The NPI number for Stefany O'connell is 1386378479. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Stefany O'connell located?

Stefany O'connell practices at 480 Central Ave Bldg 1750, Jbphh, HI 96860. The listed phone number is (888) 683-2778.

What is Stefany O'connell's specialty?

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

Is Stefany O'connell enrolled in Medicare?

Yes. Stefany O'connell 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 Stefany O'connell was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.