Tracy Lynne Khan Fernando, MSN,APRN-RX,FNP-BC,A - Medicare Nurse Practitioner in Honolulu, HI

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Tracy Lynne Khan Fernando, MSN,APRN-RX,FNP-BC,A is a medicare enrolled "Nurse Practitioner - Family" in Honolulu, Hawaii. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kokua Kalihi Valley Comprehensive Family Services, Queens University Medical Group and her current practice location is 2239 N. School St., Kokua Kalihi Valley, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 791-9410.

Tracy Lynne Khan Fernando is licensed to practice in Hawaii (license number APRN1979) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770940892.

Contact Information

Tracy Lynne Khan Fernando, MSN,APRN-RX,FNP-BC,A
2239 N. School St., Kokua Kalihi Valley,
Honolulu, HI 96819
(808) 791-9410
(808) 847-6051

Map and Direction




Provider's Profile

Full NameTracy Lynne Khan Fernando
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location2239 N. School St., Honolulu, Hawaii
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tracy Lynne Khan Fernando graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1770940892
  • Provider Enumeration Date: 01/20/2016
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931408036
  • Enrollment ID: I20160425000368

Medical Identifiers

Medical identifiers for Tracy Lynne Khan Fernando such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770940892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN1979 (Hawaii)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kokua Kalihi Valley Comprehensive Family Services054725874113
Queens University Medical Group2466831557545

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. Tracy Lynne Khan Fernando allows following entities to bill medicare on her behalf.
Entity NameThe Queens Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487693586
PECOS PAC ID: 3476454067
Enrollment ID: O20040116000366
Entity NameKokua Kalihi Valley Comprehensive Family Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114074622
PECOS PAC ID: 0547258741
Enrollment ID: O20190401001159
Entity NameQueens University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891441382
PECOS PAC ID: 2466831557
Enrollment ID: O20220621000534

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. Tracy Lynne Khan Fernando 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
Tracy Lynne Khan Fernando, MSN,APRN-RX,FNP-BC,A
2239 N. School St., Kokua Kalihi Valley,
Honolulu, HI 96819

Ph: (808) 791-9410		Tracy Lynne Khan Fernando, MSN,APRN-RX,FNP-BC,A
2239 N. School St., Kokua Kalihi Valley,
Honolulu, HI 96819

Ph: (808) 791-9410

Reviews and Comments


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Qi Zhi, NP
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Phone: 808-772-9673    

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.