Shmyra Fountain, FNP-BC - Medicare Nurse Practitioner in Kealakekua, HI

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Shmyra Fountain, FNP-BC is a medicare enrolled "Nurse Practitioner" in Kealakekua, Hawaii. Her current practice location is 79-1019 Haukapila St, Kealakekua, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 322-9311.

Shmyra Fountain is licensed to practice in Hawaii (license number APRN-4333) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609652262.

Contact Information

Shmyra Fountain, FNP-BC
79-1019 Haukapila St,
Kealakekua, HI 96750-7920
(808) 322-9311
Not Available

Map and Direction




Provider's Profile

Full NameShmyra Fountain
GenderFemale
SpecialityNurse Practitioner
Location79-1019 Haukapila St, Kealakekua, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609652262
  • Provider Enumeration Date: 09/07/2023
  • Last Update Date: 12/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3971953142
  • Enrollment ID: I20231229002395

Medical Identifiers

Medical identifiers for Shmyra Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609652262NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 93914 (Hawaii)Secondary
363L00000XNurse Practitioner APRN-4333 (Hawaii)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shmyra Fountain allows following entities to bill medicare on her behalf.
Entity NameSound Physicians Of Hawaii Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740658053
PECOS PAC ID: 8628378973
Enrollment ID: O20151118002302

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shmyra Fountain is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shmyra Fountain, FNP-BC
1301 Solana Blvd Ste 2200,
Westlake, TX 76262-1769

Ph: (817) 767-6209		Shmyra Fountain, FNP-BC
79-1019 Haukapila St,
Kealakekua, HI 96750-7920

Ph: (808) 322-9311

Reviews and Comments


Nurse Practitioner Nurses in Kealakekua, HI

Michael Mckinley Fountain, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 79-1019 Haukapila St, Kealakekua, HI 96750
Phone: 808-322-9311    
Christina Gaspar, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 81-901 Onouli Rd, Kealakekua, HI 96750
Phone: 808-209-0572    
Melanie Renee Ellis, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 79-1019 Haukapila St, Kealakekua, HI 96750
Phone: 808-322-9311    
Peggy J Porter, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 81-6587 Mamalahoa Hwy, C 201, Kealakekua, HI 96750
Phone: 808-323-3107    Fax: 808-323-0012
Cindy Onita Mecham, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 79-7266 Mamalahoa Hwy Ste 3, Kealakekua, HI 96750
Phone: 808-498-4827    Fax: 808-762-1392
Tiffany A Healy, APRN-RX
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 81-6360 Mamalahoa Hwy # 2, Kealakekua, HI 96750
Phone: 808-896-6369    
Ibid M Nicolaisen, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 81-980 Halekii St Ste 107, Kealakekua, HI 96750
Phone: 808-324-0703    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.