ALYSSA LOS DNP, RD, RN
NPI 1699420380
Nurse Practitioner - Family in Kaunakakai, HI
About Alyssa Los Dnp, Rd, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA LOS DNP, RD, RN (NPI 1699420380) is an individual family provider in Kaunakakai, Hawaii, licensed in Hawaii (APRN-6198-0) and active in the NPI registry since February 2022. She is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alyssa Los Dnp, Rd, 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.
Medicare Billing Reassignment
Medicare enrollment records show Alyssa Los reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kailua, HI 96734
- Reassigned Medicare billing, Hawaii enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alyssa Los's NPI number?
The NPI number for Alyssa Los is 1699420380. It was assigned to this individual provider in the NPPES registry on February 21, 2022.
Where is Alyssa Los located?
Alyssa Los practices at 604 Mauna Loa Hwy Bldg C, Kaunakakai, HI 96748. The listed phone number is (520) 850-9360.
What is Alyssa Los's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alyssa Los enrolled in Medicare?
Yes. Alyssa Los 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.
Which organization bills Medicare for Alyssa Los's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Los reassigns Medicare benefits to Canyon Primary Care LLC (Kailua, 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 Alyssa Los's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alyssa Los was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.
# Alyssa Los, DNP, RD, RN · NPI 1699420380
Family physician in Kaunakakai, Hawaii. Individual provider, active in the CMS NPPES registry since February 21, 2022.
## Identity
- **NPI:** 1699420380 (Entity type: Individual)
- **Enumerated:** February 21, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-6198-0 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 604 MAUNA LOA HWY, BLDG C, Kaunakakai, HI 96748
- **Phone:** (520) 850-9360
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Canyon Primary Care LLC (NPI 1295341550, Kailua, HI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1699420380) · Data from the CMS NPPES public registry.