MS. LISA A KELLEHER FNP-BC
NPI 1932470481
Nurse Practitioner - Family in Honolulu, HI
About Ms. Lisa A Kelleher Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LISA A KELLEHER FNP-BC (NPI 1932470481) is an individual family provider in Honolulu, Hawaii, licensed in Hawaii (1423) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Lisa A Kelleher Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Lisa Kelleher reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- 859 clinicians in this Medicare group
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- Medicare enrollment name: The Queens Medical Center
- 809 clinicians in this Medicare group
Honolulu, HI 96817
- Reassigned Medicare billing, Hawaii enrollment
- 4 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 96813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HONOLULU, HI 96813
HONOLULU, HI 96813
HONOLULU, HI 96813
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 Lisa Kelleher's NPI number?
The NPI number for Lisa Kelleher is 1932470481. It was assigned to this individual provider in the NPPES registry on January 14, 2012.
Where is Lisa Kelleher located?
Lisa Kelleher practices at 550 S Beretania St, Honolulu, HI 96813. The listed phone number is (808) 538-9011.
What is Lisa Kelleher's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Kelleher enrolled in Medicare?
Yes. Lisa Kelleher is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lisa Kelleher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Kelleher reassigns Medicare benefits to 3 organizations: Queens University Medical Group (Honolulu, HI), The Queen's Medical Center (Honolulu, HI) and Cory T Miyamoto MD Inc (Honolulu, HI). Each 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 Lisa Kelleher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Kelleher accept?
Health plans from HMSA list Lisa Kelleher 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 Lisa Kelleher was last updated on April 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Ms. Lisa A Kelleher, FNP-BC · NPI 1932470481
Family physician in Honolulu, Hawaii. Individual provider, active in the CMS NPPES registry since January 14, 2012.
## Identity
- **NPI:** 1932470481 (Entity type: Individual)
- **Enumerated:** January 14, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1423 (Hawaii)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 550 S BERETANIA ST, Honolulu, HI 96813-2414
- **Phone:** (808) 538-9011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Queens University Medical Group (NPI 1891441382, Honolulu, HI); The Queen's Medical Center (NPI 1487693586, Honolulu, HI); Cory T Miyamoto MD Inc (NPI 1538642954, Honolulu, HI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1932470481) · Data from the CMS NPPES public registry.