MS. LAIS FABRI BRYAN – Adult Health Nurse Practitioner, NPI 1215684642

MS. LAIS FABRI BRYAN is a healthcare provider. based in Ewa beach, Hawaii. specializing in NURSE PRACTITIONER. They hold a License No. AP70077040 (WA). The NPI Number for MS. LAIS FABRI BRYAN is 1215684642

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MS. LAIS FABRI BRYAN
NPI
1215684642
Phone
(718) 753-7661
Address
91-608 MAKALEA ST
Enumeration Date
5 March 2022
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
2567858640
Group Practice PAC ID
2466831557
Professional Enrollment ID
I20220330001640
Address ID
HI968132448HO1380XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:4State licenses:1Digital endpointsOther names

887 NURSE PRACTITIONER in HI

Provider Addresses for MS. LAIS FABRI BRYAN

  • 91-608 MAKALEA ST

    EWA BEACH, HI 967065944

    Phone: (718) 753-7661

    Type: Mailing

  • 1301 PUNCHBOWL ST

    HONOLULU, HI 968132499

    Phone: (808) 691-4144

    Type: Location

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone:

    Type: Mailing

  • 325 9TH AVE

    SEATTLE, WA 981042420

    Phone: (206) 520-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Chiesi USA, Inc. ($125).

Total Amount

$144

General + Research + Ownership

Payments

3

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

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: 2026-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220330001640INurse PractitionerHITBD
I20260310002921INurse PractitionerWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 96706)

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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: 2466831557View full group profile
NameSpecialtyState
Nurse PractitionerHI
Diagnostic RadiologyMD
Internal MedicineHI
H O S P I T A L I S TKY
Nurse PractitionerHI
Interventional Radiology, NeurosurgeryMD
Family PracticeNY
Internal MedicineHI
Interventional Cardiology, Internal MedicineMT
Geriatric Medicine, Internal MedicineHI

Reviews

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Frequently asked questions

What unique ID ties claims to MS. LAIS FABRI BRYAN?
NPI 1215684642 is assigned to MS. LAIS FABRI BRYAN under the national enumeration system.
Is MS. LAIS FABRI BRYAN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MS. LAIS FABRI BRYAN treat or focus on?
Patients typically see MS. LAIS FABRI BRYAN under the specialty Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. LAIS FABRI BRYAN?
The page summarizes Ewa Beach, Hawaii for MS. LAIS FABRI BRYAN; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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