Mrs Marisa Ann Kimiko Hayashi Shimotsu, FNP-BC - Medicare Nurse Practitioner in Honolulu, HI

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Mrs Marisa Ann Kimiko Hayashi Shimotsu, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Honolulu, Hawaii. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Queens University Medical Group and her current practice location is 888 S King St, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 532-3159.

Mrs Marisa Ann Kimiko Hayashi Shimotsu is licensed to practice in Hawaii (license number 1659) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053747923.

Contact Information

Mrs Marisa Ann Kimiko Hayashi Shimotsu, FNP-BC
888 S King St,
Honolulu, HI 96813-3097
(808) 532-3159
Not Available

Map and Direction




Provider's Profile

Full NameMrs Marisa Ann Kimiko Hayashi Shimotsu
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location888 S King St, Honolulu, Hawaii
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Marisa Ann Kimiko Hayashi Shimotsu graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1053747923
  • Provider Enumeration Date: 09/23/2013
  • Last Update Date: 08/17/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4284862608
  • Enrollment ID: I20140714001278

Medical Identifiers

Medical identifiers for Mrs Marisa Ann Kimiko Hayashi Shimotsu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053747923NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 757305 (California)Secondary
163W00000XRegistered Nurse 74443 (Hawaii)Secondary
363LF0000XNurse Practitioner - Family 23491 (California)Secondary
363LF0000XNurse Practitioner - Family 1659 (Hawaii)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Careresource HawaiiHonolulu, HIHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Queens University Medical Group2466831557545

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. Mrs Marisa Ann Kimiko Hayashi Shimotsu allows following entities to bill medicare on her behalf.
Entity NameStraub Clinic & Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457306508
PECOS PAC ID: 6305759754
Enrollment ID: O20031111000417
Entity NameThe Queens Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487693586
PECOS PAC ID: 3476454067
Enrollment ID: O20040116000366
Entity NameQueens University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891441382
PECOS PAC ID: 2466831557
Enrollment ID: O20220621000534

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. Mrs Marisa Ann Kimiko Hayashi Shimotsu 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
Mrs Marisa Ann Kimiko Hayashi Shimotsu, FNP-BC
45-446 Lolii St,
Kaneohe, HI 96744-5910

Ph: (808) 277-1040		Mrs Marisa Ann Kimiko Hayashi Shimotsu, FNP-BC
888 S King St,
Honolulu, HI 96813-3097

Ph: (808) 532-3159

Reviews and Comments


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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).

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