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MICHAEL NISHIMOTO PNP
NPI 1801167051
Nurse Practitioner - Pediatrics in Honolulu, HI

Active since January 19, 2012PECOS Enrolled
1310 PUNAHOU ST, HONOLULU, HI 96826(808) 941-4466(808) 951-3718 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Nishimoto Pnp NPPES

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

MICHAEL NISHIMOTO PNP (NPI 1801167051) is an individual pediatrics provider in Honolulu, Hawaii, licensed in Hawaii (1684) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801167051
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMICHAEL NISHIMOTOCredential: PNP
Location Address1310 PUNAHOU STHonolulu, HI 96826-1027
Mailing AddressPo Box 8500, Lockbox 7642Philadelphia, PA 19178-7642 · (813) 281-8115 · Fax (813) 281-8656
Phone(808) 941-4466
Fax(808) 951-3718
Sole ProprietorNo
Enumeration DateJanuary 19, 2012
Last NPPES UpdateJanuary 27, 2016
✔ NPI 1801167051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in HI · 1684✔ Licensed in CA · NP21018
1310 PUNAHOU ST, Honolulu, HI 96826
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Nishimoto Pnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Nishimoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shriners Hospitals For Children
Same address
Anesthesiology
1310 PUNAHOU ST
Honolulu, HI 96826
  • Reassigned Medicare billing, Hawaii enrollment
  • 39 clinicians in this Medicare group
NPI 1225526478 (808) 941-4466

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 96826 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 20

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

LORI C MIZOGUCHI
Physical Therapist
1310 PUNAHOU ST
HONOLULU, HI 96826
Honolulu County (808) 951-3626
SHRINERS HOSPITALS FOR CHILDREN
Anesthesiology
1310 PUNAHOU ST
HONOLULU, HI 96826
Honolulu County (808) 941-4466
ASHLYN C KAWASAKI DPT
Physical Therapist
1310 PUNAHOU ST
HONOLULU, HI 96826
Honolulu County (808) 951-3626
KONNOR JAMES MCINTIRE MSOT, OTR/L
Occupational Therapist
1310 PUNAHOU ST
HONOLULU, HI 96826
Honolulu County (808) 951-3626
SHRINERS HOSPITALS FOR CHILDREN
General Acute Care Hospital (Children)
1310 PUNAHOU ST
HONOLULU, HI 96826
Honolulu County (808) 941-4466
DR. BRANDI N. BLAIR MD
Anesthesiology
1310 PUNAHOU ST
HONOLULU, HI 96826
Honolulu County (808) 941-4466
LISA J ABBOTT APRN
Nurse Practitioner (Family)
1310 PUNAHOU ST
HONOLULU, HI 96826
Honolulu County (808) 941-4466
PAUL MOROZ
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1310 PUNAHOU ST
HONOLULU, HI 96826
Honolulu County (808) 951-3638

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 Michael Nishimoto's NPI number?

The NPI number for Michael Nishimoto is 1801167051. It was assigned to this individual provider in the NPPES registry on January 19, 2012.

Where is Michael Nishimoto located?

Michael Nishimoto practices at 1310 Punahou St, Honolulu, HI 96826. The listed phone number is (808) 941-4466.

What is Michael Nishimoto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Michael Nishimoto enrolled in Medicare?

Yes. Michael Nishimoto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Nishimoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Nishimoto reassigns Medicare benefits to Shriners Hospitals For Children (Honolulu, 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 Michael Nishimoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Nishimoto accept?

Health plans from HMSA list Michael Nishimoto 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 Michael Nishimoto was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.