Ibid M Nicolaisen, NP | |
81-980 Halekii St Ste 107, Kealakekua, HI 96750-8177 | |
(808) 324-0703 | |
Not Available |
Full Name | Ibid M Nicolaisen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 81-980 Halekii St Ste 107, Kealakekua, Hawaii |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780036517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A117690 (Iowa) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN-2139 (Hawaii) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kona Community Hospital | Kealakekua, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Hawaii Community Health Center Inc | 1557389400 | 40 |
Entity Name | West Hawaii Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952335630 PECOS PAC ID: 1557389400 Enrollment ID: O20051109000287 |
Mailing Address | Practice Location Address |
---|---|
Ibid M Nicolaisen, NP 75-5751 Kuakini Hwy Ste 203, Kailua Kona, HI 96740-1753 Ph: (808) 326-5629 | Ibid M Nicolaisen, NP 81-980 Halekii St Ste 107, Kealakekua, HI 96750-8177 Ph: (808) 324-0703 |
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 |