Lisa Kim, FNP - Medicare Nurse Practitioner in Honolulu, HI

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Lisa Kim, FNP is a medicare enrolled "Nurse Practitioner" in Honolulu, Hawaii. Her current practice location is 550 S Beretania St Ste 501, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 691-8955.

Lisa Kim is licensed to practice in Hawaii (license number APRN-3873-0) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588373120.

Contact Information

Lisa Kim, FNP
550 S Beretania St Ste 501,
Honolulu, HI 96813-2496
(808) 691-8955
(808) 691-8950

Map and Direction




Provider's Profile

Full NameLisa Kim
GenderFemale
SpecialityNurse Practitioner
Location550 S Beretania St Ste 501, Honolulu, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588373120
  • Provider Enumeration Date: 11/22/2022
  • Last Update Date: 08/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4183085111
  • Enrollment ID: I20230807002083

Medical Identifiers

Medical identifiers for Lisa Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588373120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN-3873-0 (Hawaii)Primary

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. Lisa Kim 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

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. Lisa Kim 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
Lisa Kim, FNP
550 S Beretania St Ste 501,
Honolulu, HI 96813-2496

Ph: (808) 691-8955		Lisa Kim, FNP
550 S Beretania St Ste 501,
Honolulu, HI 96813-2496

Ph: (808) 691-8955

Reviews and Comments


Nurse Practitioner Nurses in Honolulu, HI

Ms. Chong Son An, APRN-BC
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Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819
Phone: 808-432-0000    
Jessica Jung Ackerman, FNP
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Phone: 808-922-4787    
Mrs. Katie Akiko Azama, NP-C
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Practice Location: 4211 Waialae Ave, Honolulu, HI 96816
Phone: 808-732-0784    
Mr. Harold Marion Galara Palma, APRN
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Practice Location: 1520 Liliha St Ste 601, Honolulu, HI 96817
Phone: 808-523-0445    
May Gresko, APRN
Nurse Practitioner
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Practice Location: 1401 S Beretania St Ste 750, Honolulu, HI 96814
Phone: 808-536-2261    
Qi Zhi, NP
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Practice Location: 2230 Liliha St Ste 104, Honolulu, HI 96817
Phone: 808-261-4476    
Samuel Jiun Jung, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 1670 Makaloa St Ste 201a, Honolulu, HI 96814
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.