JENNY GREENLEE (FNP-C) – Primary Care Nurse Practitioner, NPI 1154936094
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
887 NURSE PRACTITIONER in HI
Provider Addresses for JENNY GREENLEE (FNP-C)
16-590 Old Volcano Rd Ste Bc
Keaau, HI 967498158
Phone: (808) 430-9790
Type: Location
5424 EDGEWATER DR
EWA BEACH, HI 967063249
Phone: (808) 312-9215
Type: Mailing
16-566 KEAAU PAHOA RD # 188-342
KEAAU, HI 967498137
Phone: (808) 430-9790
Type: Mailing
86-260 FARRINGTON HWY
WAIANAE, HI 967923128
Phone: (808) 697-3300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $194.
Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Abbott Laboratories ($114).
Total Amount
$194
General + Research + Ownership
Payments
5
Total payment records
General Amount
$194
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $114 |
| Novo Nordisk Inc | $43 |
| Lilly USA, LLC | $20 |
| AstraZeneca Pharmaceuticals LP | $18 |
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: 2021-09-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210913000734 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 24 | 12 | $0 |
Insurance plans in this area (ZIP 96749)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | HI | |
| Nurse Practitioner | HI | |
| Clinical Psychologist | HI | |
| Nurse Practitioner | HI | |
| Clinical Psychologist | HI | |
| - | HI | |
| Clinical Psychologist | HI | |
| Nurse Practitioner | HI | |
| Nurse Practitioner | HI | |
| - | HI |
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