| 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 | 10 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 | 52 |
| 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, PMHNP-C , FNP-C 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: Accepting Medicare Assignments Practice Location: 81-6360 Mamalahoa Hwy # 2, Kealakekua, HI 96750 Phone: 808-896-6369 |