JENNY MARIE PIVONKA
NPI 1760223895
Nurse Practitioner - Psychiatric/Mental Health in Honolulu, HI

Active since June 03, 2024
4211 WAIALAE AVE STE 208, HONOLULU, HI 96816(808) 429-9795 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenny Marie Pivonka NPPES

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

JENNY MARIE PIVONKA (NPI 1760223895) is an individual psychiatric/mental health provider in Honolulu, Hawaii, licensed in Hawaii (APRN-4612-0) and active in the NPI registry since June 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1760223895
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJENNY MARIE PIVONKA
Location Address4211 WAIALAE AVE STE 208Honolulu, HI 96816-5312
Mailing AddressPo Box 4611Kaneohe, HI 96744-8611 · (808) 429-9795
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 3, 2024
NPPES CertifiedJune 3, 2024
NPI 1760223895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in HI · APRN-4612-0
4211 WAIALAE AVE STE 208, Honolulu, HI 96816

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 (PECOS)

Jenny Marie Pivonka is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315436409
PECOS Enrollment IDI20251029002387

Other Providers at the Same Location NPPES 8

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

Psychiatry & Neurology (Psychiatry)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Nurse Practitioner (Psychiatric/Mental Health)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Clinic/Center (Adolescent and Children Mental Health)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Nurse Practitioner (Psychiatric/Mental Health)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Clinic/Center (Adolescent and Children Mental Health)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Psychiatry & Neurology (Psychiatry)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Psychiatry & Neurology (Psychiatry)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816

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 Jenny Pivonka's NPI number?

The NPI number for Jenny Pivonka is 1760223895. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Jenny Pivonka located?

Jenny Pivonka practices at 4211 Waialae Ave Ste 208, Honolulu, HI 96816. The listed phone number is (808) 429-9795.

What is Jenny Pivonka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jenny Pivonka enrolled in Medicare?

Yes. Jenny Pivonka is registered in the Medicare PECOS enrollment system.

What insurance does Jenny Pivonka accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Jenny Pivonka 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.

When was this NPI record last updated?

The NPPES record for Jenny Pivonka was last updated on June 3, 2024. 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.