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JENNA HAN PHYSICIAN ASSISTANT
NPI 1639055924
Physician Assistant in Kailua Kona, HI

Active since August 13, 2025PECOS Enrolled
74-5576 PAWAI PL SUITE J 696, KAILUA KONA, HI 96740(541) 556-5965 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenna Han Physician Assistant NPPES

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

JENNA HAN PHYSICIAN ASSISTANT (NPI 1639055924) is an individual physician assistant in Kailua Kona, Hawaii and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639055924
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA HANCredential: PHYSICIAN ASSISTANT
Location Address74-5576 PAWAI PL SUITE J 696Kailua Kona, HI 96740
Mailing Address74-5576 Pawai Pl Suite J 696Kailua Kona, HI 96740
Phone(541) 556-5965
Sole ProprietorNo
Enumeration DateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
✔ NPI 1639055924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
74-5576 PAWAI PL SUITE J 696, Kailua Kona, HI 96740
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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 (PECOS)

Jenna Han Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 96740 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.

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 Jenna Han's NPI number?

The NPI number for Jenna Han is 1639055924. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Where is Jenna Han located?

Jenna Han practices at 74-5576 Pawai Pl Suite J 696, Kailua Kona, HI 96740. The listed phone number is (541) 556-5965.

What is Jenna Han's specialty?

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

Is Jenna Han enrolled in Medicare?

Yes. Jenna Han is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenna Han was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.