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PARK WELLNESS
NPI 1861994626
Clinic/Center - Primary Care in Keaau, HI

Active since March 07, 2018
16-590 OLD VOLCANO RD STE B, KEAAU, HI 96749(808) 333-3450(808) 930-4721 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2024, Jan 30, 2022, Mar 7, 2018 (3 updates tracked since 2018).

About Park Wellness NPPES

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

PARK WELLNESS (NPI 1861994626) is a healthcare organization registered as a primary care in Keaau, Hawaii and active in the NPI registry since March 2018. The organization lists Jennifer Grune, Ceo/aprn, as its authorized official.

NPPES Registry Identity

NPI1861994626
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJENNIFER GRUNE DNP FNP-BC
Location Address16-590 OLD VOLCANO RD STE BKeaau, HI 96749-8158
Mailing Address16-590 Old Volcano Rd Ste BKeaau, HI 96749-8158 · (808) 333-3450 · Fax (808) 930-4721
Phone(808) 333-3450
Fax(808) 930-4721
Organization SubpartNo
Authorized OfficialJennifer GruneCeo/aprn · (808) 333-3450
Enumeration DateMarch 7, 2018
Last NPPES UpdateSeptember 4, 20243 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1861994626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN-2244 (HI)
16-590 OLD VOLCANO RD STE B, Keaau, HI 96749
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Other Names 1

Doing Business AsPark Wellness

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Park Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Park Wellness, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jennifer Grune, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1720599640
16-590 OLD VOLCANO RD STE B
Keaau, HI 96749
(808) 333-3450
✔ PECOS✔ Accepts MedicareSame address
Lorna Linville, MSN, APRN, FNP-BC
Nurse Practitioner
NPI 1871063982
1130 N NIMITZ HWY RM C302
Honolulu, HI 96817
(808) 538-0704
✔ PECOS✔ Accepts Medicare218 mi

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

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 Jennifer Grune Dnp Fnp-Bc's NPI number?

The NPI number for Jennifer Grune Dnp Fnp-Bc is 1861994626. It was assigned to this organization in the NPPES registry on March 7, 2018. The provider is doing business as Park Wellness.

Where is Jennifer Grune Dnp Fnp-Bc located?

Jennifer Grune Dnp Fnp-Bc is located at 16-590 Old Volcano Rd Ste B, Keaau, HI 96749. The listed phone number is (808) 333-3450.

What is Jennifer Grune Dnp Fnp-Bc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Jennifer Grune Dnp Fnp-Bc enrolled in Medicare?

Yes. Jennifer Grune Dnp Fnp-Bc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jennifer Grune Dnp Fnp-Bc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Jennifer Grune Dnp Fnp-Bc. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Grune Dnp Fnp-Bc was last updated on September 4, 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.