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Active NPI 1649531112 Individual Practitioner Female Practitioner

Stacey Gregory , APRN

Nurse Practitioner • Makawao, HI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacey Gregory, APRN is a certified Nurse Practitioner practicing in Makawao, HI. With approximately 10 years of clinical experience since completing medical education in 2016, Stacey Gregory delivers high-quality medical care to the local community at 81 MAKAWAO AVE STE 100.

Stacey Gregory accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, psychotherapy with evaluation and management visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

81 Makawao Ave Ste 100

Makawao, HI 967688859

Telephone 8085738900
Fax 8085737505
Associated Practice Facility / Clinic
🏢 Pukalani Family Practice, Llc Facility NPI 1063009207

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Makawao, HI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -0.5 yrs vs City Avg
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Makawao, HI (222 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gregory (10 Years) 10 Yrs
Makawao Specialty Average (10.5 Years) 10.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
59 34 $175.00 $98.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
25 15 $225.00 $130.66

Medical Specialties & State Licenses

CMS Verified: 2026-02-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License HI APRN2158

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License OR 202004535NP-PP

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1023107844

Doctor of Medicine (M.D.)

Donna Banal-Byrnes , PA

Physician Assistant

NPI 1144234857

Physician Assistant

Scott Sadler , APRN

Nurse Practitioner - Family

NPI 1154137024

Advanced Practice Registered Nurse

Liat Miller , APRN

Nurse Practitioner - Family

NPI 1245781368

Advanced Practice Registered Nurse

Dan Baston , APRN

Nurse Practitioner - Family

NPI 1336224229

Advanced Practice Registered Nurse

Cristina Prokop , APRN

Nurse Practitioner - Adult Health

NPI 1508190588

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

25 Historical Events
📍
Updated Practice Location February 13, 2026

Registered at 81 MAKAWAO AVE STE 100, MAKAWAO, HI 967688859 (Tel: 8085738900)

📍
Updated Business Mailing Address February 13, 2026

Registered at 81 MAKAWAO AVE STE 100, MAKAWAO, HI 967688859 (Tel: 8085738900)

👤
Provider Name / Credentials Updated February 13, 2026

Recorded as STACEY GREGORY, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2026

Nurse Practitioner (License #202004535NP-PP in OR)

📍
Updated Practice Location September 23, 2025

Registered at 3915 RIVER RD, EUGENE, OR 974041230 (Tel: 5416889140)

📍
Updated Business Mailing Address September 23, 2025

Registered at PO BOX 35380, LAS VEGAS, NV 891335380 (Tel: 7025793203)

📍
Updated Practice Location March 23, 2022

Registered at 1718 E KESSLER BLVD, LONGVIEW, WA 986321842 (Tel: 3607475800)

📍
Updated Practice Location November 10, 2021

Registered at 1338 COMMERCE AVE STE 206, LONGVIEW, WA 986323726 (Tel: 3605603801)

📍
Updated Business Mailing Address November 10, 2021

Registered at 1338 COMMERCE AVE STE 206, LONGVIEW, WA 986323726 (Tel: 3605603801)

👤
Provider Name / Credentials Updated November 10, 2021

Recorded as STACEY GREGORY, ARNP FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2021

Nurse Practitioner (License #AP61058632 in WA)

📍
Updated Practice Location May 18, 2021

Registered at 2720 E MADISON ST, SEATTLE, WA 981124739 (Tel: 2063225300)

📍
Updated Business Mailing Address May 18, 2021

Registered at 2738 FIR ST, LONGVIEW, WA 986322023 (Tel: 3605603801)

👤
Provider Name / Credentials Updated May 18, 2021

Recorded as STACEY PRUSKY, ARNP FNP

NPI Profile Active January 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2017

Registered at 1935 MAIN ST, 102, WAILUKU, HI 967931784 (Tel: 8084423245)

📍
Updated Business Mailing Address January 18, 2017

Registered at 1935 MAIN ST, #102, WAILUKU, HI 967931784 (Tel: 8084423245)

👤
Provider Name / Credentials Updated January 18, 2017

Recorded as STACEY PRUSKY, APRN FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Nurse Practitioner (License #APRN 2158 in HI)

NPI Profile Active October 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2016

Registered at 1935 MAIN ST, 102, WAILUKU, HI 967931784 (Tel: 8084423245)

📍
Updated Business Mailing Address October 07, 2016

Registered at 1935 MAIN ST, #102, WAILUKU, HI 967931784 (Tel: 8084423245)

👤
Provider Name / Credentials Updated October 07, 2016

Recorded as STACEY PRUSKY, APRN FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2016

Nurse Practitioner (License #APRN 2158 in HI)

🟢
Initial NPI Registration & Enumeration May 31, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649531112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2012
Last Update: February 13, 2026
Sole Proprietor: No

Mailing Address

81 Makawao Ave Ste 100

Makawao, HI 967688859

Phone: 8085738900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.