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SHANE GOO
NPI 1770461683
Nurse Practitioner in Kailua, HI

Active since August 27, 2025PECOS Enrolled
1626 KANAPUU DR, KAILUA, HI 96734(808) 262-3335 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shane Goo NPPES

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

SHANE GOO (NPI 1770461683) is an individual nurse practitioner in Kailua, Hawaii, licensed in Hawaii (5373) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770461683
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSHANE GOO
Location Address1626 KANAPUU DRKailua, HI 96734-4182
Mailing Address1626 Kanapuu DrKailua, HI 96734-4182 · (808) 262-3335
Phone(808) 262-3335
Sole ProprietorYes
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1770461683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in HI · 5373
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1626 KANAPUU DR, Kailua, HI 96734
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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 (PECOS)

Shane Goo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 96734 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 Shane Goo's NPI number?

The NPI number for Shane Goo is 1770461683. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Shane Goo located?

Shane Goo practices at 1626 Kanapuu Dr, Kailua, HI 96734. The listed phone number is (808) 262-3335.

What is Shane Goo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shane Goo enrolled in Medicare?

Yes. Shane Goo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Goo was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.