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MRS. RUTHE KLARISSE SIMON-UMIL DNP
NPI 1578176830
Nurse Practitioner - Primary Care in Kapolei, HI

Active since August 26, 2020PECOS Enrolled
91-1043 MAMAKA ST, KAPOLEI, HI 96707(808) 636-1779 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 27, 2021, Aug 26, 2020 (2 updates tracked since 2020).

About Mrs. Ruthe Klarisse Simon-umil Dnp NPPES

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

MRS. RUTHE KLARISSE SIMON-UMIL DNP (NPI 1578176830) is an individual primary care provider in Kapolei, Hawaii, licensed in Hawaii (3008) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578176830
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. RUTHE KLARISSE SIMON-UMILCredential: DNP
Location Address91-1043 MAMAKA STKapolei, HI 96707-2914
Mailing Address550 S Beretania St, Ste 601Honolulu, HI 96813-2423 · (808) 636-1779
Phone(808) 636-1779
Sole ProprietorNo
Enumeration DateAugust 26, 2020
Last NPPES UpdateJanuary 27, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
✔ NPI 1578176830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in HI · 3008
91-1043 MAMAKA ST, Kapolei, HI 96707
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ruthe Klarisse Simon-umil Dnp 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.

Medicare Billing Reassignments

2

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

The Queens Medical Center
2.6 mi
Urgent Care
91-6390 KAPOLEI PKWY
Ewa Beach, HI 96706
  • Reassigned Medicare billing, Hawaii enrollment
  • 809 clinicians in this Medicare group
NPI 1417580275 (808) 735-0007
Queens University Medical Group
13 mi
Multi-Specialty
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 859 clinicians in this Medicare group
NPI 1891441382 (808) 691-1000

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 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
106 services45 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
28 services17 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96707 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.

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 Ruthe Simon-umil's NPI number?

The NPI number for Ruthe Simon-umil is 1578176830. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Ruthe Simon-umil located?

Ruthe Simon-umil practices at 91-1043 Mamaka St, Kapolei, HI 96707. The listed phone number is (808) 636-1779.

What is Ruthe Simon-umil's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Ruthe Simon-umil enrolled in Medicare?

Yes. Ruthe Simon-umil is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ruthe Simon-umil's services?

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

What insurance does Ruthe Simon-umil accept?

Health plans from HMSA list Ruthe Simon-umil 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 Ruthe Simon-umil was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.