IBID M NICOLAISEN NP
NPI 1780036517
Nurse Practitioner - Family in Kealakekua, HI

Active since July 05, 2016PECOS EnrolledAccepts Medicare Assignment
81-980 HALEKII ST STE 107, KEALAKEKUA, HI 96750(808) 324-0703 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2021, Sep 13, 2019 (2 updates tracked since 2019).

About Ibid M Nicolaisen Np NPPES

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

IBID M NICOLAISEN NP (NPI 1780036517) is an individual family provider in Kealakekua, Hawaii, licensed in Hawaii (APRN-2139) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Kona Community Hospital, and maintains a secondary practice location in Kailua Kona.

NPPES Registry Identity

NPI1780036517
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIBID M NICOLAISENCredential: NP
Location Address81-980 HALEKII ST STE 107Kealakekua, HI 96750-8177
Mailing Address75-5751 Kuakini Hwy Ste 203Kailua Kona, HI 96740-1753 · (808) 326-5629
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2016
Enumeration DateJuly 5, 2016
Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
NPI 1780036517 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-2139 Licensed in IA · A117690
81-980 HALEKII ST STE 107, Kealakekua, HI 96750

Secondary Practice Location 1

Location 175-5751 Kuakini Hwy, Ste 203Kailua Kona, HI 96740-1752 · Phone (808) 326-5629

Accepted Insurance

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

Ibid M Nicolaisen Np 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 ID7911292446
PECOS Enrollment IDI20160823002877
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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Kona Community Hospital

Acute Care Hospitals · Kealakekua, HI
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120019
Location79-1019 Haukapila StreetKealakekua, HI 96750 · Hawaii County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96750 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$108.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Health Educator
81-980 HALEKII ST STE 107
KEALAKEKUA, HI 96750
Clinic/Center (Federally Qualified Health Center (FQHC))
81-980 HALEKII ST STE 107
KEALAKEKUA, HI 96750

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 Ibid Nicolaisen's NPI number?

The NPI number for Ibid Nicolaisen is 1780036517. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Where is Ibid Nicolaisen located?

Ibid Nicolaisen practices at 81-980 Halekii St Ste 107, Kealakekua, HI 96750. The listed phone number is (808) 324-0703.

What is Ibid Nicolaisen's specialty?

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

Is Ibid Nicolaisen enrolled in Medicare?

Yes. Ibid Nicolaisen 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.

What insurance does Ibid Nicolaisen accept?

Health plans from HMSA list Ibid Nicolaisen 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.

Is Ibid Nicolaisen affiliated with any hospitals?

According to CMS data, Ibid Nicolaisen is affiliated with Kona Community Hospital.

When was this NPI record last updated?

The NPPES record for Ibid Nicolaisen was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.