TRACY LYNNE KHAN FERNANDO MSN,APRN-RX,FNP-BC,A
NPI 1770940892
Nurse Practitioner - Family in Honolulu, HI
About Tracy Lynne Khan Fernando Msn,aprn-rx,fnp-bc,a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY LYNNE KHAN FERNANDO MSN,APRN-RX,FNP-BC,A (NPI 1770940892) is an individual family provider in Honolulu, Hawaii, licensed in Hawaii (APRN1979) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tracy Lynne Khan Fernando Msn,aprn-rx,fnp-bc,a 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tracy Lynne Fernando reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Honolulu, HI 96819
- Reassigned Medicare billing, Hawaii enrollment
- 38 clinicians in this Medicare group
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- Medicare enrollment name: The Queens Medical Center
- 809 clinicians in this Medicare group
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- 859 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96819 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tracy Lynne Fernando's NPI number?
The NPI number for Tracy Lynne Fernando is 1770940892. It was assigned to this individual provider in the NPPES registry on January 20, 2016. The provider is also known as Tracy Lynne Fernando Atagi Msn,aprn-Rx,fnp-Bc.
Where is Tracy Lynne Fernando located?
Tracy Lynne Fernando practices at 2239 N. School St. Kokua Kalihi Valley, Honolulu, HI 96819. The listed phone number is (808) 791-9410.
What is Tracy Lynne Fernando's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tracy Lynne Fernando enrolled in Medicare?
Yes. Tracy Lynne Fernando 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.
Which organizations bill Medicare for Tracy Lynne Fernando's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Lynne Fernando reassigns Medicare benefits to 3 organizations: Kokua Kalihi Valley Comprehensive Family Services (Honolulu, HI), Queen Emma Clinics (Honolulu, HI) and Queens University Medical Group (Honolulu, HI). Each 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 Tracy Lynne Fernando's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracy Lynne Fernando accept?
Health plans from HMSA list Tracy Lynne Fernando 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 Tracy Lynne Fernando was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Tracy Lynne Khan Fernando, MSN,APRN-RX,FNP-BC,A · NPI 1770940892
Family physician in Honolulu, Hawaii. Individual provider, active in the CMS NPPES registry since January 20, 2016.
## Identity
- **NPI:** 1770940892 (Entity type: Individual)
- **Enumerated:** January 20, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN1979 (Hawaii)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2239 N. SCHOOL ST., KOKUA KALIHI VALLEY, Honolulu, HI 96819
- **Phone:** (808) 791-9410 · **Fax:** (808) 847-6051
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kokua Kalihi Valley Comprehensive Family Services (NPI 1114074622, Honolulu, HI); Queen Emma Clinics (NPI 1528097094, Honolulu, HI); Queens University Medical Group (NPI 1891441382, Honolulu, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1770940892) · Data from the CMS NPPES public registry.