Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared Medeiros

Individual provider Family Nurse Practitioner · NPI 1043617103

Jared Medeiros is a Nurse Practitioner in Lanai City, Hawaii. Qualified in 2014, 12 years ago. Practices with Lanai Community Health Center, a 7-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
12
Licensed in
HI
In the registry since
2014

Practice location Address checks out

478 Lauhala Pl
Lanai City, HI 96763
Phone: (808) 565-6919
Fax: (808) 565-9111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-1845 (HI)

Record details

NPI number1043617103
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 4, 2014
Last updated in NPPESDecember 4, 2014
Mailing addressPo Box 630142, Lanai City, HI 96763-0142

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lanai Community Health Center — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lanai City