JENNY MARIE PIVONKA
NPI 1760223895
Nurse Practitioner - Psychiatric/Mental Health in Honolulu, HI
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 has opted out of Medicare through June 12, 2028 and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jenny Marie Pivonka has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 12, 2026 through June 12, 2028.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HONOLULU, HI 96816
HONOLULU, HI 96816
HONOLULU, HI 96816
HONOLULU, HI 96816
HONOLULU, HI 96816
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?
No. Jenny Pivonka has opted out of Medicare through June 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
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.
# Jenny Marie Pivonka · NPI 1760223895
Psychiatric/Mental Health physician in Honolulu, Hawaii. Individual provider, active in the CMS NPPES registry since June 3, 2024.
## Identity
- **NPI:** 1760223895 (Entity type: Individual)
- **Enumerated:** June 3, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN-4612-0 (Hawaii)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4211 WAIALAE AVE STE 208, Honolulu, HI 96816-5312
- **Phone:** (808) 429-9795
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 12, 2028); services are provided under private contract
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1760223895) · Data from the CMS NPPES public registry.