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ASHLEY ILUSTRE APRN
NPI 1669202297
Nurse Practitioner - Family in Kapaa, HI

Active since August 07, 2024PECOS Enrolled
4-1579 KUHIO HWY STE 207, KAPAA, HI 96746(808) 470-7970 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ashley Ilustre Aprn NPPES

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

ASHLEY ILUSTRE APRN (NPI 1669202297) is an individual family provider in Kapaa, Hawaii, licensed in Hawaii (APRN-4691) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Princeville, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669202297
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY ILUSTRECredential: APRN
Location Address4-1579 KUHIO HWY STE 207Kapaa, HI 96746-1859
Mailing Address5581 Hauaala Rd # BKapaa, HI 96746-2280 · (808) 635-2241
Phone(808) 470-7970
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 7, 2024
NPPES CertifiedJuly 11, 2024
✔ NPI 1669202297 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
Licenses✔ Licensed in HI · APRN-4691✔ Licensed in HI · 75521
4-1579 KUHIO HWY STE 207, Kapaa, HI 96746
Open in Google Maps ↗

Secondary Practice Location 1

Location 14488 Hanalei Plantation RdPrinceville, HI 96722-5462 · Phone (808) 320-7300 · Fax (808) 826-4505

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)

Ashley Ilustre Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496286635
PECOS Enrollment IDI20240930001037
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 Reassignment

Medicare enrollment records show Ashley Ilustre reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Makana North Shore Clinic
14 mi
Urgent Care
4488 HANALEI PLANTATION RD
Princeville, HI 96722
  • Reassigned Medicare billing, Hawaii enrollment
  • 52 clinicians in this Medicare group
NPI 1114431632 (808) 320-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96746 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 Ashley Ilustre's NPI number?

The NPI number for Ashley Ilustre is 1669202297. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Ashley Ilustre located?

Ashley Ilustre practices at 4-1579 Kuhio Hwy Ste 207, Kapaa, HI 96746. The listed phone number is (808) 470-7970.

What is Ashley Ilustre's specialty?

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

Is Ashley Ilustre enrolled in Medicare?

Yes. Ashley Ilustre is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ashley Ilustre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Ilustre reassigns Medicare benefits to The Makana North Shore Clinic (Princeville, HI). The 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 Ashley Ilustre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Ilustre accept?

Health plans from HMSA list Ashley Ilustre 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 Ashley Ilustre was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.