SAMUEL MAGNOTTO RN
NPI 1699334797
Nurse Practitioner - Psychiatric/Mental Health in Wailuku, HI

Q: What is Samuel Magnotto's NPI number?

The NPI number for Samuel Magnotto is 1699334797. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Q: What is Samuel Magnotto's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Magnotto was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 12, 2019PECOS Enrolled

270 HOOKAHI ST STE 207, WAILUKU, HI 96793(808) 242-1660(808) 242-6650 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2026, Dec 12, 2025, Jun 12, 2019 (3 updates tracked since 2019).

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About Samuel Magnotto Rn NPPES

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

SAMUEL MAGNOTTO RN (NPI 1699334797) is an individual psychiatric/mental health provider in Wailuku, Hawaii, licensed in Hawaii (APRN-5611-0) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1699334797

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameSAMUEL MAGNOTTOCredential: RN

Location Address270 HOOKAHI ST STE 207Wailuku, HI 96793-1466

Mailing Address10 Palekana StPaia, HI 96779-9634 · (206) 550-6529

Phone(808) 242-1660

Fax(808) 242-6650

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 12, 2019

Last NPPES UpdateJune 5, 20263 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1699334797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in HI · APRN-5611-0

270 HOOKAHI ST STE 207, Wailuku, HI 96793

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Magnotto Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587130927

PECOS Enrollment IDI20260414002304

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 96793 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 5

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

GABRIELLA RODRIGUEZ

Counselor