TATE KUSATSU
NPI 1255945416
Nurse Practitioner - Family in Honolulu, HI

Active since September 04, 2020PECOS EnrolledAccepts Medicare Assignment
550 S BERETANIA ST STE 610, HONOLULU, HI 96813(808) 691-8514 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tate Kusatsu NPPES

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

TATE KUSATSU (NPI 1255945416) is an individual family provider in Honolulu, Hawaii, licensed in Hawaii (APRN-3019) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255945416
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTATE KUSATSU
Location Address550 S BERETANIA ST STE 610Honolulu, HI 96813-2496
Mailing Address555 South St Apt 1308Honolulu, HI 96813-5045 · (808) 256-0654
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 4, 2020
NPPES CertifiedSeptember 4, 2020
✔ NPI 1255945416 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-3019
550 S BERETANIA ST STE 610, Honolulu, HI 96813

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

Tate Kusatsu 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 ID6901226240
PECOS Enrollment IDI20201026002092
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 Reassignments

2

Medicare enrollment records show Tate Kusatsu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 859 clinicians in this Medicare group
General Acute Care Hospital
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • Medicare enrollment name: The Queens Medical Center
  • 809 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.

Areas of Expertise CMS Part B claims 11

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 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.
72 services67 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
46 services40 patients
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.
39 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services31 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
29 services29 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.
29 services25 patients

Hospital Affiliations CMS Care Compare

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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 10

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

Internal Medicine (Cardiovascular Disease)
550 S BERETANIA ST STE 610
HONOLULU, HI 96813
Physician Assistant
550 S BERETANIA ST STE 610
HONOLULU, HI 96813
Obstetrics & Gynecology
550 S BERETANIA ST STE 610
HONOLULU, HI 96813
Internal Medicine (Cardiovascular Disease)
550 S BERETANIA ST STE 610
HONOLULU, HI 96813
Pharmacy (Clinic Pharmacy)
550 S BERETANIA ST STE 610
HONOLULU, HI 96813
Internal Medicine (Clinical Cardiac Electrophysiology)
550 S BERETANIA ST STE 610
HONOLULU, HI 96813
Nurse Practitioner (Family)
550 S BERETANIA ST STE 610
HONOLULU, HI 96813
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
550 S BERETANIA ST STE 610
HONOLULU, HI 96813

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 Tate Kusatsu's NPI number?

The NPI number for Tate Kusatsu is 1255945416. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Where is Tate Kusatsu located?

Tate Kusatsu practices at 550 S Beretania St Ste 610, Honolulu, HI 96813. The listed phone number is (808) 691-8514.

What is Tate Kusatsu's specialty?

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

Is Tate Kusatsu enrolled in Medicare?

Yes. Tate Kusatsu 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 Tate Kusatsu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tate Kusatsu reassigns Medicare benefits to 2 organizations: Queens University Medical Group (Honolulu, HI) and The Queen's Medical Center (Honolulu, 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 Tate Kusatsu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tate Kusatsu accept?

Health plans from HMSA list Tate Kusatsu 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 Tate Kusatsu affiliated with any hospitals?

According to CMS data, Tate Kusatsu is affiliated with The Queens Medical Center.

When was this NPI record last updated?

The NPPES record for Tate Kusatsu was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.