Jesse Macpherson, PA-C
Physician Assistant in Honolulu, HI. Individual provider (NPI-1).
NPI number1124667944
StatusActive
Last updated in NPPESFeb 25, 2020
Details
- NPI
- 1124667944
- Entity type
- Individual (NPI-1)
- Name
- Jesse Macpherson
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2019
- Certification date
- Feb 25, 2020
- Last updated
- Feb 25, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | HI | Yes |
Practice location
1401 S Beretania St Ste 102Honolulu, HI 96814-1871
Phone 561-346-6136
Mailing address
1401 S Beretania StHonolulu, HI 96814-1870
Phone 561-346-6136
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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