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AMY REISENAUER MD LLC
NPI 1922550987
Dermatology in Kihei, HI

Active since October 25, 2016
1300 N HOLOPONO ST STE 215, KIHEI, HI 96753(808) 874-3444 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Jul 28, 2017, Oct 25, 2016 (3 updates tracked since 2016).

About Amy Reisenauer Md Llc NPPES

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

AMY REISENAUER MD LLC (NPI 1922550987) is a healthcare organization registered as a dermatology in Kihei, Hawaii and active in the NPI registry since October 2016. The organization lists Amy Kersten Reisenauer, Owner, as its authorized official.

NPPES Registry Identity

NPI1922550987
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAMY REISENAUER MD LLC
Location Address1300 N HOLOPONO ST STE 215Kihei, HI 96753-6945
Mailing Address1300 N Holopono St Ste 215Kihei, HI 96753-6945 · (808) 874-3444
Phone(808) 874-3444
Organization SubpartNo
Authorized OfficialAmy Kersten ReisenauerOwner · (808) 874-3444
Enumeration DateOctober 25, 2016
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1922550987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in HI · MD13436
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1300 N HOLOPONO ST STE 215, Kihei, HI 96753
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Reisenauer Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Amy Reisenauer MD LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Amy Reisenauer, MD
Dermatology
NPI 1104927110
1300 N HOLOPONO ST STE 215
Kihei, HI 96753
(808) 874-3444
✔ PECOS✔ Accepts Medicare0.2 mi
Alan Song, MD
Otolaryngology
NPI 1174624019
1300 N HOLOPONO ST STE 215
Kihei, HI 96753
(808) 874-3444
✔ PECOS✔ Accepts Medicare0.2 mi
Crystal Yaple, APRN
Nurse Practitioner
NPI 1942893086
30 KUPAOA ST STE 208
Makawao, HI 96768
(808) 207-6563
✔ PECOS✔ Accepts Medicare8.4 mi
Daniel Zelac, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1891709903
10820 N TORREY PINES RD
La Jolla, CA 92037
(858) 554-8646
✔ PECOS✔ Accepts Medicare2,544 mi
Seaver Soon, M.D.
Dermatology
NPI 1659301455
3737 4TH AVE
San Diego, CA 92103
(619) 299-0700
✔ PECOS✔ Accepts Medicare2,547 mi
Ann Brewer, M.D.
Dermatology
NPI 1235573114
175 COMMONS LOOP STE 300
Kalispell, MT 59901
(406) 756-7555
✔ PECOS✔ Accepts Medicare3,001 mi
Thomas Trischman, MD
Dermatology
NPI 1275161259
200 1ST ST SW
Rochester, MN 55905
(507) 284-2511
✔ PECOS✔ Accepts Medicare3,959 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Amy Reisenauer MD LLC's NPI number?

The NPI number for Amy Reisenauer MD LLC is 1922550987. It was assigned to this organization in the NPPES registry on October 25, 2016.

Where is Amy Reisenauer MD LLC located?

Amy Reisenauer MD LLC is located at 1300 N Holopono St Ste 215, Kihei, HI 96753. The listed phone number is (808) 874-3444.

What is Amy Reisenauer MD LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Amy Reisenauer MD LLC enrolled in Medicare?

Yes. Amy Reisenauer MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amy Reisenauer MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Amy Reisenauer MD LLC. A 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 the clinician's services. The largest specialties are Dermatology (4), Micrographic Dermatologic Surgery (MDS) (1) and Nurse Practitioner (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Amy Reisenauer MD LLC accept?

Health plans from HMSA list Amy Reisenauer MD LLC 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 Amy Reisenauer MD LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.