PUNA CLINIC
NPI 1083897979
Community/Behavioral Health in Pahoa, HI
About Puna Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PUNA CLINIC (NPI 1083897979) is a healthcare organization registered as a community/behavioral health in Pahoa, Hawaii and active in the NPI registry since December 2007. The organization lists Raquel B. Nakahara, Financial Resource Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Puna Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Puna Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 25Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 State Of Hawaii Department Of Health's NPI number?
The NPI number for State Of Hawaii Department Of Health is 1083897979. It was assigned to this organization in the NPPES registry on December 13, 2007. The provider is doing business as Puna Clinic.
Where is State Of Hawaii Department Of Health located?
State Of Hawaii Department Of Health is located at 15-2866 Govt. Road Pahoa Town Center Bldg. E, Pahoa, HI 96778. The listed phone number is (808) 965-2240.
What is State Of Hawaii Department Of Health's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is State Of Hawaii Department Of Health enrolled in Medicare?
Yes. State Of Hawaii Department Of Health is registered in the Medicare PECOS enrollment system.
When is State Of Hawaii Department Of Health's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through State Of Hawaii Department Of Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 5 Medicare specialties reassign their Medicare billing to State Of Hawaii Department Of Health. A 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 the clinician's services. The largest specialties are Psychiatry (14), Clinical Psychologist (5) and Clinical Social Worker (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does State Of Hawaii Department Of Health accept?
Health plans from HMSA list State Of Hawaii Department Of Health 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 State Of Hawaii Department Of Health was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Puna Clinic · NPI 1083897979
Community/Behavioral Health organization in Pahoa, Hawaii. Organization record, active in the CMS NPPES registry since December 13, 2007.
## Identity
- **NPI:** 1083897979 (Entity type: Organization)
- **Enumerated:** December 13, 2007
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** State Of Hawaii Department Of Health
- **Organization subpart:** Yes (part of State Of Hawaii Department Of Health)
- **Authorized official:** Raquel Nakahara, FINANCIAL RESOURCE SPECIALIST
## Practice location
- **Address:** 15-2866 GOVT. ROAD PAHOA TOWN CENTER, BLDG. E, Pahoa, HI 96778
- **Phone:** (808) 965-2240
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Hawaii, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 25 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (14), Clinical Psychologist (5), Clinical Social Worker (3); [full list](https://npiprofile.com/npi/1083897979/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2014
- **Other identifiers:** Medicare PIN HSOH (HI); Medicaid 53937217 (HI)
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Source: [NPI Profile](https://npiprofile.com/npi/1083897979) · Data from the CMS NPPES public registry.