MS. KESHA C MIMMS RN
NPI 1609343391
Nurse Practitioner - Psychiatric/Mental Health in Honolulu, HI

Active since October 31, 2018PECOS EnrolledAccepts Medicare Assignment
952 N KING ST, HONOLULU, HI 96817(808) 841-7981 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2022, Apr 16, 2020, Oct 31, 2018 (3 updates tracked since 2018).

About Ms. Kesha C Mimms Rn NPPES

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

MS. KESHA C MIMMS RN (NPI 1609343391) is an individual psychiatric/mental health provider in Honolulu, Hawaii, licensed in Hawaii (APRN-2794) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609343391
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. KESHA C MIMMSCredential: RN
Location Address952 N KING STHonolulu, HI 96817-4556
Mailing Address1303 Dominis St Apt 16Honolulu, HI 96822-3020 · (978) 239-0412
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 31, 2018
Last NPPES UpdateMarch 10, 20223 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
NPI 1609343391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in HI · APRN-2794
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2270873 (MA)
952 N KING ST, Honolulu, HI 96817

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Kesha C Mimms Rn 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 ID5193155620
PECOS Enrollment IDI20200423001272
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96817 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 13

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

Marriage & Family Therapist
952 N KING ST
HONOLULU, HI 96817
Counselor (Mental Health)
952 N KING ST
HONOLULU, HI 96817
Social Worker (Clinical)
952 N KING ST
HONOLULU, HI 96817
Psychologist (Clinical)
952 N KING ST
HONOLULU, HI 96817
Registered Nurse (Diabetes Educator)
952 N KING ST
HONOLULU, HI 96817
Social Worker (Clinical)
952 N KING ST
HONOLULU, HI 96817
Pharmacy (Clinic Pharmacy)
952 N KING ST
HONOLULU, HI 96817
Dietitian, Registered
952 N KING ST
HONOLULU, HI 96817

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 Kesha Mimms's NPI number?

The NPI number for Kesha Mimms is 1609343391. It was assigned to this individual provider in the NPPES registry on October 31, 2018.

Where is Kesha Mimms located?

Kesha Mimms practices at 952 N King St, Honolulu, HI 96817. The listed phone number is (808) 841-7981.

What is Kesha Mimms's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kesha Mimms enrolled in Medicare?

Yes. Kesha Mimms 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.

What insurance does Kesha Mimms accept?

Health plans from HMSA list Kesha Mimms 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 Kesha Mimms was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.