HEIDI KRISTEN HILLESLAND
NPI 1922325349
Internal Medicine - Infectious Disease in Lihue, HI

Active since April 24, 2010PECOS EnrolledAccepts Medicare Assignment
83.15/100
CMS Quality Rating
3-3420 KUHIO HWY STE B, LIHUE, HI 96766(808) 215-1540(808) 632-2855 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Feb 14, 2018, Dec 4, 2017 (3 updates tracked since 2017).

About Heidi Kristen Hillesland NPPES

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

HEIDI KRISTEN HILLESLAND (NPI 1922325349) is an individual infectious disease provider in Lihue, Hawaii, licensed in Hawaii (18659) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1922325349
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameHEIDI KRISTEN HILLESLAND
Location Address3-3420 KUHIO HWY STE BLihue, HI 96766-1098
Mailing Address60 Lihau StKapaa, HI 96746-9535
Fax(808) 632-2855
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2010
Enumeration DateApril 24, 2010
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
NPI 1922325349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in HI · 18659
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 18659 (HI)
3-3420 KUHIO HWY STE B, Lihue, HI 96766

Secondary Practice Location 1

Location 1University Of Washington, 1959 NE Pacific Street, Box 356421Seattle, WA 98195-6421 · Phone (206) 543-3000

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

Heidi Kristen Hillesland 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 ID1355643214
PECOS Enrollment IDI20160815000725
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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
214 services83 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
68 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96766 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.12
Promoting Interoperability100
Improvement Activities40
Cost69.73

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.

Nurse Practitioner (Family)
3-3420 KUHIO HWY STE B
LIHUE, HI 96766
Radiology (Diagnostic Radiology)
3-3420 KUHIO HWY STE B
LIHUE, HI 96766
Emergency Medicine
3-3420 KUHIO HWY STE B
LIHUE, HI 96766
Registered Nurse (Diabetes Educator)
3-3420 KUHIO HWY STE B
LIHUE, HI 96766
Internal Medicine
3-3420 KUHIO HWY STE B
LIHUE, HI 96766
Obstetrics & Gynecology
3-3420 KUHIO HWY STE B
LIHUE, HI 96766
Registered Nurse (Diabetes Educator)
3-3420 KUHIO HWY STE B
LIHUE, HI 96766
Emergency Medicine (Emergency Medical Services)
3-3420 KUHIO HWY STE B
LIHUE, HI 96766

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 Heidi Hillesland's NPI number?

The NPI number for Heidi Hillesland is 1922325349. It was assigned to this individual provider in the NPPES registry on April 24, 2010.

Where is Heidi Hillesland located?

Heidi Hillesland practices at 3-3420 Kuhio Hwy Ste B, Lihue, HI 96766. The listed phone number is (808) 215-1540.

What is Heidi Hillesland's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Heidi Hillesland enrolled in Medicare?

Yes. Heidi Hillesland 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 Heidi Hillesland accept?

Health plans from HMSA list Heidi Hillesland 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 Heidi Hillesland affiliated with any hospitals?

According to CMS data, Heidi Hillesland is affiliated with Wilcox Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Heidi Hillesland was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.