NICOLE M RUDY CNM
NPI 1023510161
Advanced Practice Midwife in Wailuku, HI

Active since March 05, 2018PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
80 MAHALANI ST, WAILUKU, HI 96793(833) 833-3333 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2025, Jan 28, 2021, Mar 5, 2018 (3 updates tracked since 2018).

About Nicole M Rudy Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE M RUDY CNM (NPI 1023510161) is an individual advanced practice midwife in Wailuku, Hawaii, licensed in Hawaii (APRN-5329) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023510161
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameNICOLE M RUDYCredential: CNM
Location Address80 MAHALANI STWailuku, HI 96793-2531
Mailing Address80 Mahalani StWailuku, HI 96793-2531
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 5, 2018
Last NPPES UpdateNovember 20, 20253 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1023510161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Licenses✔ Licensed in HI · APRN-5329✔ Licensed in OR · 201707449NP-PP
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
80 MAHALANI ST, Wailuku, HI 96793

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole M Rudy Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628333630
PECOS Enrollment IDI20251217002024
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Rudy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96793 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
80 MAHALANI ST
WAILUKU, HI 96793
Orthopaedic Surgery
80 MAHALANI ST
WAILUKU, HI 96793
Dietitian, Registered
80 MAHALANI ST
WAILUKU, HI 96793
Internal Medicine
80 MAHALANI ST
WAILUKU, HI 96793
Optometrist
80 MAHALANI ST
WAILUKU, HI 96793
Orthopaedic Surgery (Hand Surgery)
80 MAHALANI ST
WAILUKU, HI 96793
Surgery
80 MAHALANI ST
WAILUKU, HI 96793
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
80 MAHALANI ST, STE 100
WAILUKU, HI 96793

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Rudy's NPI number?

The NPI number for Nicole Rudy is 1023510161. It was assigned to this individual provider in the NPPES registry on March 5, 2018.

Where is Nicole Rudy located?

Nicole Rudy practices at 80 Mahalani St, Wailuku, HI 96793. The listed phone number is (833) 833-3333.

What is Nicole Rudy's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Nicole Rudy enrolled in Medicare?

Yes. Nicole Rudy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicole Rudy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Rudy reassigns Medicare benefits to Hawaii Permanente Medical Group Inc (Honolulu, HI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Rudy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Rudy accept?

Health plans from Kaiser Permanente list Nicole Rudy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Rudy was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.