KELLIE ACOSTA PA-C
NPI 1053777342
Physician Assistant - Medical in Kailua Kona, HI

Active since January 03, 2016PECOS Enrolled
75-5995 KUAKINI HWY STE 513, KAILUA KONA, HI 96740(808) 365-2297 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2025, Jan 3, 2016 (2 updates tracked since 2016).

About Kellie Acosta Pa-c NPPES

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

KELLIE ACOSTA PA-C (NPI 1053777342) is an individual medical provider in Kailua Kona, Hawaii, licensed in Hawaii (AMD-1055) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kailua Kona.

NPPES Registry Identity

NPI1053777342
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLIE ACOSTACredential: PA-C
Location Address75-5995 KUAKINI HWY STE 513Kailua Kona, HI 96740-2124
Mailing Address75-127 Lunapule Rd Ste 7eKailua Kona, HI 96740-2119 · (808) 640-2660
Sole ProprietorYes
Enumeration DateJanuary 3, 2016
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
NPI 1053777342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in HI · AMD-1055
Also ListedPhysician AssistantTaxonomy 363A00000X · License AMD-1055 (HI)
75-5995 KUAKINI HWY STE 513, Kailua Kona, HI 96740

Secondary Practice Location 1

Location 175-127 Lunapule Rd Ste 7EKailua Kona, HI 96740-2119 · Phone (808) 640-2660 ext. 64026

Other Identifiers 1

OtherAMD-1055HI · Hawaii Pa License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kellie Acosta Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services13 patients

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.

Clinic/Center (Urgent Care)
75-5995 KUAKINI HWY STE 513
KAILUA KONA, HI 96740
Clinic/Center (Urgent Care)
75-5995 KUAKINI HWY STE 513
KAILUA KONA, HI 96740
Anesthesiology
75-5995 KUAKINI HWY STE 513
KAILUA KONA, HI 96740

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 Kellie Acosta's NPI number?

The NPI number for Kellie Acosta is 1053777342. It was assigned to this individual provider in the NPPES registry on January 3, 2016.

Where is Kellie Acosta located?

Kellie Acosta practices at 75-5995 Kuakini Hwy Ste 513, Kailua Kona, HI 96740. The listed phone number is (808) 365-2297.

What is Kellie Acosta's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kellie Acosta enrolled in Medicare?

Yes. Kellie Acosta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kellie Acosta was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.