Dr Kelsey R Ennila, DC, DNP, FNP-BC in Hilo, HI

Dr Kelsey R Ennila, DC, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Hilo, Hawaii. His current practice location is 32 Ululani St, Hilo, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 934-9675.

Dr Kelsey R Ennila is licensed to practice in Hawaii (license number APRN3365) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518098144.

Contact Information

	Dr Kelsey R Ennila, DC, DNP, FNP-BC
	32 Ululani St, Hilo, HI 96720-2933
	(808) 934-9675
	(808) 536-0320

Map and Direction

Provider's Profile

Full Name	Dr Kelsey R Ennila
Gender	Male
Speciality	Nurse Practitioner - Family
Location	32 Ululani St, Hilo, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518098144
Provider Enumeration Date: 03/07/2007
Last Update Date: 06/12/2023

Medicare PECOS Information:

PECOS PAC ID: 6305943523
Enrollment ID: I20211110002724

Medical Identifiers

Medical identifiers for Dr Kelsey R Ennila such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518098144	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN3365 (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. Dr Kelsey R Ennila allows following entities to bill medicare on his behalf.

Entity Name	Pukalani Family Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063009207 PECOS PAC ID: 2567877178 Enrollment ID: O20210211003491

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. Dr Kelsey R Ennila 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 Address	Practice Location Address
Dr Kelsey R Ennila, DC, DNP, FNP-BC 6600 Kalanianaole Hwy Ste 114a, Honolulu, HI 96825-1281 Ph: (808) 888-4800	Dr Kelsey R Ennila, DC, DNP, FNP-BC 32 Ululani St, Hilo, HI 96720-2933 Ph: (808) 934-9675

Reviews and Comments

Nurse Practitioner Nurses in Hilo, HI

Frances Romero Hussian, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 W. Kawili St, Campus Center Rm 212, Hilo, HI 96720 Phone: 808-932-7369 Fax: 808-932-7368
Joyce Margaret Norris-taylor, DNP, APRN-RX, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 W Kawili St, Hilo, HI 96720 Phone: 808-932-7063
Mrs. Michelle Momoe Ojiri, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Ponohawai St, Ste. 101, Hilo, HI 96720 Phone: 808-885-3627 Fax: 808-969-3852
Ms. Kelly Leialoha Luscomb, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Pauahi St Ste 101, Hilo, HI 96720 Phone: 808-531-7222
Tracy Elizabeth Thornett, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Aupuni St Ste 108, Hilo, HI 96720 Phone: 808-968-0877
Melissa Leilani Garnett, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 891 Ululani St, Hilo, HI 96720 Phone: 808-930-0777
Ms. Tammy Lee Wheeler, APRN-RX Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37 Kekaulike St, Hilo, HI 96720 Phone: 808-959-3513

Dr Kelsey R Ennila, DC, DNP, FNP-BC - Medicare Nurse Practitioner in Hilo, HI