HYELEE KIM PSYCHIATRIC NP
NPI 1790190528
Nurse Practitioner - Psychiatric/Mental Health in Kailua, HI

Active since July 01, 2014PECOS EnrolledAccepts Medicare Assignment
30 AULIKE ST STE 308, KAILUA, HI 96734(760) 583-1997 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hyelee Kim Psychiatric Np NPPES

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

HYELEE KIM PSYCHIATRIC NP (NPI 1790190528) is an individual psychiatric/mental health provider in Kailua, Hawaii, licensed in Hawaii (2189) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1790190528
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHYELEE KIMCredential: PSYCHIATRIC NP
Location Address30 AULIKE ST STE 308Kailua, HI 96734
Mailing Address1246 Akele StKailua, HI 96734-4221 · (760) 583-1997
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 1, 2014
Last NPPES UpdateMay 17, 2018
✔ NPI 1790190528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in HI · 2189✔ Licensed in CA · 95001174
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 574628 (CA)
30 AULIKE ST STE 308, Kailua, HI 96734

Secondary Practice Locations 2

Location 11253 Makalapa Gate Rd Bldg 1407Pearl Harbor, HI 96860-4479 · Phone (808) 473-0650 ext. 325
Location 27192 Kalanianaole Hwy Ste D204BHonolulu, HI 96825-1856 · Phone (760) 583-1997

Accepted Insurance

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

Hyelee Kim Psychiatric 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 ID3971867482
PECOS Enrollment IDI20180511001832
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 Hyelee Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Hawaii enrollment
  • 12 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.

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 Hyelee Kim's NPI number?

The NPI number for Hyelee Kim is 1790190528. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Hyelee Kim located?

Hyelee Kim practices at 30 Aulike St Ste 308, Kailua, HI 96734. The listed phone number is (760) 583-1997.

What is Hyelee Kim's specialty?

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

Is Hyelee Kim enrolled in Medicare?

Yes. Hyelee Kim 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 Hyelee Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hyelee Kim reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). 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 Hyelee Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hyelee Kim accept?

Health plans from HMSA list Hyelee Kim 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 Hyelee Kim was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.