MS. KELLY LEIALOHA LUSCOMB N.P.
NPI 1053746941
Nurse Practitioner - Family in Hilo, HI

Active since September 10, 2013PECOS EnrolledAccepts Medicare Assignment
80 PAUAHI ST STE 101, HILO, HI 96720(808) 531-7222 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kelly Leialoha Luscomb N.p. NPPES

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

MS. KELLY LEIALOHA LUSCOMB N.P. (NPI 1053746941) is an individual family provider in Hilo, Hawaii, licensed in Hawaii (APRN-1641) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1053746941
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KELLY LEIALOHA LUSCOMBCredential: N.P.
Location Address80 PAUAHI ST STE 101Hilo, HI 96720-3043
Mailing Address80 Pauahi St Ste 101Hilo, HI 96720-3043 · (808) 531-7222
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 10, 2013
Last NPPES UpdateFebruary 11, 2015
NPI 1053746941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in HI · APRN-1641
80 PAUAHI ST STE 101, Hilo, HI 96720

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Kelly Leialoha Luscomb N.p. 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 ID5395968499
PECOS Enrollment IDI20140519000367
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96720 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
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Marriage & Family Therapist
80 PAUAHI ST STE 101
HILO, HI 96720
Anesthesiology (Pain Medicine)
80 PAUAHI ST STE 101
HILO, HI 96720
Social Worker (Clinical)
80 PAUAHI ST STE 101
HILO, HI 96720

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 Kelly Luscomb's NPI number?

The NPI number for Kelly Luscomb is 1053746941. It was assigned to this individual provider in the NPPES registry on September 10, 2013.

Where is Kelly Luscomb located?

Kelly Luscomb practices at 80 Pauahi St Ste 101, Hilo, HI 96720. The listed phone number is (808) 531-7222.

What is Kelly Luscomb's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Luscomb enrolled in Medicare?

Yes. Kelly Luscomb 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.

What insurance does Kelly Luscomb accept?

Health plans from HMSA list Kelly Luscomb 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.

Is Kelly Luscomb affiliated with any hospitals?

According to CMS data, Kelly Luscomb is affiliated with Hilo Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Luscomb was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.