HOMAYRA FAHMIDA (APRN) – Family Nurse Practitioner, NPI 1467211102

HOMAYRA FAHMIDA (APRN) is a healthcare provider. based in Koloa, Hawaii. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11031746 (FL). The NPI Number for HOMAYRA FAHMIDA (APRN) is 1467211102

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
HOMAYRA FAHMIDA (APRN)
NPI
1467211102
Phone
(386) 450-0597
Address
3958 KIANI ST
Enumeration Date
15 March 2024
Last Update Date
1 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
3779925557
Group Practice PAC ID
2860303021
Professional Enrollment ID
I20240524000748
Address ID
HI967960000WAPOXXXBOXX202
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

891 NURSE PRACTITIONER in HI

Provider Addresses for HOMAYRA FAHMIDA (APRN)

  • 3958 KIANI ST

    KOLOA, HI 967569643

    Phone: (386) 450-0597

    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 11 Open Payments records for all available years, with a total value of $248.

Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: GENZYME CORPORATION ($48).

Total Amount

$248

General + Research + Ownership

Payments

11

Total payment records

General Amount

$248

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

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: 2025-03-19

PECOS data refreshed: 2026-06-15

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
I20240524000748INurse PractitionerFLTBD
I20250319003870INurse PractitionerHITBD

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 96756)

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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: 2860303021View full group profile
NameSpecialtyState
Clinical PsychologistCA
Family PracticeHI
Internal Medicine, Geriatric MedicineVA
Nurse PractitionerHI
Registered Dietitian Or Nutrition ProfessionalHI
-CA
Clinical Social WorkerHI
Family PracticeNY
Clinical Social WorkerHI
Clinical Social WorkerHI

Reviews

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Frequently asked questions

Is HOMAYRA FAHMIDA (APRN) listed with a National Provider Identifier?
Yes — HOMAYRA FAHMIDA (APRN) has NPI 1467211102 on file in the registry.
Is HOMAYRA FAHMIDA (APRN) shown as active in public data?
Registry records indicate HOMAYRA FAHMIDA (APRN) maintains an active NPI.
What area of care is associated with HOMAYRA FAHMIDA (APRN)?
HOMAYRA FAHMIDA (APRN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is HOMAYRA FAHMIDA (APRN) located near Koloa?
HOMAYRA FAHMIDA (APRN) currently maps to Koloa, Hawaii in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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