MS. KELLY LEIALOHA LUSCOMB N.P.
NPI 1053746941
Nurse Practitioner - Family in Hilo, HI
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Luscomb reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hilo, HI 96720
- Reassigned Medicare billing, Hawaii enrollment
- Medicare enrollment name: Bay Clinic Inc
- 20 clinicians in this Medicare group
Hilo, HI 96720
- Reassigned Medicare billing, Hawaii enrollment
- 263 clinicians in this Medicare group
Pahala, HI 96777
- Reassigned Medicare billing, Hawaii enrollment
- 208 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.
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, HIPhysician 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.
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.
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.
Which organizations bill Medicare for Kelly Luscomb's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Luscomb reassigns Medicare benefits to 3 organizations: Whchc - Hawaii Island Community Health Center (Hilo, HI), Hilo Benioff Medical Center (Hilo, HI) and Kau Hospital (Pahala, HI). Each 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 Kelly Luscomb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Ms. Kelly Leialoha Luscomb, N.P. · NPI 1053746941
Family physician in Hilo, Hawaii. Individual provider, active in the CMS NPPES registry since September 10, 2013.
## Identity
- **NPI:** 1053746941 (Entity type: Individual)
- **Enumerated:** September 10, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-1641 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 80 PAUAHI ST STE 101, Hilo, HI 96720-3043
- **Phone:** (808) 531-7222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Whchc - Hawaii Island Community Health Center (NPI 1053955120, Hilo, HI); Hilo Benioff Medical Center (NPI 1780757856, Hilo, HI); Kau Hospital (NPI 1982276127, Pahala, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 11, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1053746941) · Data from the CMS NPPES public registry.