MRS. JEANELLE KELLY AHUNA (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1043463482

MRS. JEANELLE KELLY AHUNA (PHYSICIAN ASSISTANT) is a healthcare provider. based in Honolulu, Hawaii. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. AMD 334 (HI). The NPI Number for MRS. JEANELLE KELLY AHUNA (PHYSICIAN ASSISTANT) is 1043463482

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JEANELLE KELLY AHUNA (PHYSICIAN ASSISTANT)
NPI
1043463482
Phone
(808) 922-4787
Address
277 OHUA AVENUE
Enumeration Date
29 October 2008
Last Update Date
3 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8087919335
Graduation Year
2008 (18 years ago)
PAC ID
5698811248
Group Practice PAC ID
9335058536
Professional Enrollment ID
I20091013000056
Address ID
HI968156612HO277XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

356 PHYSICIAN ASSISTANT in HI

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Provider Addresses for MRS. JEANELLE KELLY AHUNA (PHYSICIAN ASSISTANT)

  • 277, Ohua Avenue, Kapahulu, Honolulu, Honolulu County, Hawaii, 96815, United States

    HONOLULU, HI 96815

    Phone: (808) 922-4787

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 203 Open Payments records for all available years, with a total value of $7,865.

Total Amount is formed as General ($7,865) + Research ($0) + Ownership ($0) = $7,865.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ViiV Healthcare Company ($3,563).

Total Amount

$7,865

General + Research + Ownership

Payments

203

Total payment records

General Amount

$7,865

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091013000056IPhysician AssistantHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96815)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335058536View full group profile
NameSpecialtyState
Physician AssistantHI
Clinical Social WorkerHI
Registered Dietitian Or Nutrition ProfessionalHI
Internal MedicineHI
Endocrinology, Internal MedicineAZ
Clinical PsychologistHI
Internal MedicineHI
Clinical PsychologistHI
Physician AssistantHI
Internal MedicineHI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. JEANELLE KELLY AHUNA (PHYSICIAN ASSISTANT)?
MRS. JEANELLE KELLY AHUNA (PHYSICIAN ASSISTANT) — NPI 1043463482 — is the standard way to identify this listing.
Can I rely on MRS. JEANELLE KELLY AHUNA (PHYSICIAN ASSISTANT) being an active provider?
As of the registry snapshot, MRS. JEANELLE KELLY AHUNA (PHYSICIAN ASSISTANT) is marked active.
What taxonomy line describes MRS. JEANELLE KELLY AHUNA (PHYSICIAN ASSISTANT)?
For research purposes, treat MRS. JEANELLE KELLY AHUNA (PHYSICIAN ASSISTANT) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does MRS. JEANELLE KELLY AHUNA (PHYSICIAN ASSISTANT) list a practice location?
Patients near Honolulu, Hawaii may find MRS. JEANELLE KELLY AHUNA (PHYSICIAN ASSISTANT) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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