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KYLIE TANAKA PA-C
NPI 1619646668
Physician Assistant in Kapolei, HI

Active since September 12, 2021PECOS EnrolledAccepts Medicare Assignment
91-5431 KAPOLEI PKWY, KAPOLEI, HI 96707(808) 426-9300 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2025, Sep 12, 2021 (2 updates tracked since 2021).

About Kylie Tanaka Pa-c NPPES

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

KYLIE TANAKA PA-C (NPI 1619646668) is an individual physician assistant in Kapolei, Hawaii and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Pali Momi Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619646668
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKYLIE TANAKACredential: PA-C
Location Address91-5431 KAPOLEI PKWYKapolei, HI 96707-5000
Mailing Address91-5431 Kapolei PkwyKapolei, HI 96707-5000 · (808) 426-9300
Phone(808) 426-9300
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 12, 2021
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1619646668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
91-5431 KAPOLEI PKWY, Kapolei, HI 96707
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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

Kylie Tanaka Pa-c 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 ID5698173995
PECOS Enrollment IDI20211015002353
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 2

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.
94 services58 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.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Pali Momi Medical Center

Acute Care Hospitals · Aiea, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120026
Location98-1079 Moanalua RoadAiea, HI 96701 · Honolulu County
Emergency services

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
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
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

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

JOY WRIGHT ATC
Specialist/Technologist (Athletic Trainer)
91-5431 KAPOLEI PKWY
KAPOLEI, HI 96707
Honolulu County (808) 426-9315

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 Kylie Tanaka's NPI number?

The NPI number for Kylie Tanaka is 1619646668. It was assigned to this individual provider in the NPPES registry on September 12, 2021.

Where is Kylie Tanaka located?

Kylie Tanaka practices at 91-5431 Kapolei Pkwy, Kapolei, HI 96707. The listed phone number is (808) 426-9300.

What is Kylie Tanaka's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kylie Tanaka enrolled in Medicare?

Yes. Kylie Tanaka 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.

Is Kylie Tanaka affiliated with any hospitals?

According to CMS data, Kylie Tanaka is affiliated with Pali Momi Medical Center.

When was this NPI record last updated?

The NPPES record for Kylie Tanaka was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.