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DR. ROEN KANANI ORNELLAS DNP, APRN-BC
NPI 1407643406
Nurse Practitioner - Family in Kapaa, HI

Active since April 22, 2025PECOS Enrolled

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Roen Kanani Ornellas Dnp, Aprn-bc NPPES

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

DR. ROEN KANANI ORNELLAS DNP, APRN-BC (NPI 1407643406) is an individual family provider in Kapaa, Hawaii, licensed in Hawaii (APRN-4901-0) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2023).

NPPES Registry Identity

NPI1407643406
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. ROEN KANANI ORNELLASCredential: DNP, APRN-BC
Location Address301 MOLO STKapaa, HI 96746-9479
Mailing Address301 Molo StKapaa, HI 96746-9479 · (808) 728-2855
Phone(808) 728-2855
Sole ProprietorYes
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2023
Enumeration DateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1407643406 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 HI · APRN-4901-0
301 MOLO ST, Kapaa, HI 96746
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roen Kanani Ornellas Dnp, Aprn-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385100049
PECOS Enrollment IDI20260803000088
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.

Medicare Billing Reassignment

Medicare enrollment records show Roen Kanani Ornellas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Makana North Shore Clinic
12 mi
Urgent Care
4488 HANALEI PLANTATION RD
Princeville, HI 96722
  • Reassigned Medicare billing, Hawaii enrollment
  • 52 clinicians in this Medicare group
NPI 1114431632 (808) 320-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96746 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.

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 Roen Kanani Ornellas's NPI number?

The NPI number for Roen Kanani Ornellas is 1407643406. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Roen Kanani Ornellas located?

Roen Kanani Ornellas practices at 301 Molo St, Kapaa, HI 96746. The listed phone number is (808) 728-2855.

What is Roen Kanani Ornellas's specialty?

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

Is Roen Kanani Ornellas enrolled in Medicare?

Yes. Roen Kanani Ornellas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roen Kanani Ornellas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roen Kanani Ornellas reassigns Medicare benefits to The Makana North Shore Clinic (Princeville, HI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roen Kanani Ornellas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roen Kanani Ornellas was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.