MARQUITA GRANDA (MSN, FNP-C, PMHNP-BC) – Family Nurse Practitioner, NPI 1134527245
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
887 NURSE PRACTITIONER in HI
Provider Addresses for MARQUITA GRANDA (MSN, FNP-C, PMHNP-BC)
5972 HEAMOI PL
KAPAA, HI 967469704
Phone: (808) 722-7710
Type: Location
PO BOX 3158
PORTLAND, OR 972083158
Phone: (503) 717-7147
Type: Mailing
5308 N LOMBARD ST
PORTLAND, OR 972034218
Phone: (888) 227-3312
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $474.
Total Amount is formed as General ($474) + Research ($0) + Ownership ($0) = $474.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($241).
Total Amount
$474
General + Research + Ownership
Payments
6
Total payment records
General Amount
$474
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $241 |
| GlaxoSmithKline, LLC. | $121 |
| Teva Pharmaceuticals USA, Inc. | $112 |
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: 2015-05-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150508001043 | I | Nurse Practitioner | HI | TBD |
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.
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 96746)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | CA | |
| Family Practice | HI | |
| Internal Medicine, Geriatric Medicine | VA | |
| Registered Dietitian Or Nutrition Professional | HI | |
| - | CA | |
| Family Practice | WA | |
| Clinical Social Worker | HI | |
| Family Practice | NY | |
| Clinical Social Worker | HI | |
| Clinical Social Worker | HI |
Reviews
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