MRS. KAREN L NISHIMOTO APRN
NPI 1992526453
Nurse Practitioner - Family in Hilo, HI

Active since October 17, 2024PECOS EnrolledAccepts Medicare Assignment
740 KILAUEA AVE, HILO, HI 96720(808) 333-3420(808) 333-3421 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Karen L Nishimoto Aprn NPPES

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

MRS. KAREN L NISHIMOTO APRN (NPI 1992526453) is an individual family provider in Hilo, Hawaii, licensed in Hawaii (APRN-4863) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1992526453
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KAREN L NISHIMOTOCredential: APRN
Location Address740 KILAUEA AVEHilo, HI 96720-4234
Mailing AddressPo Box 9Papaaloa, HI 96780-0009 · (808) 557-1455
Fax(808) 333-3421
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
NPI 1992526453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in HI · APRN-4863
740 KILAUEA AVE, Hilo, HI 96720

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

Mrs. Karen L Nishimoto Aprn 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 ID5890221568
PECOS Enrollment IDI20241205003519
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96720 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 10

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

Physical Therapist
740 KILAUEA AVE
HILO, HI 96720
Physical Therapist
740 KILAUEA AVE
HILO, HI 96720
Physical Therapist
740 KILAUEA AVE
HILO, HI 96720
Physical Therapist
740 KILAUEA AVE
HILO, HI 96720
Physical Therapist
740 KILAUEA AVE
HILO, HI 96720
Physical Therapist
740 KILAUEA AVE
HILO, HI 96720
Clinic/Center (Community Health)
740 KILAUEA AVE
HILO, HI 96720
Massage Therapist
740 KILAUEA AVE
HILO, HI 96720

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 Karen Nishimoto's NPI number?

The NPI number for Karen Nishimoto is 1992526453. It was assigned to this individual provider in the NPPES registry on October 17, 2024.

Where is Karen Nishimoto located?

Karen Nishimoto practices at 740 Kilauea Ave, Hilo, HI 96720. The listed phone number is (808) 333-3420.

What is Karen Nishimoto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Nishimoto enrolled in Medicare?

Yes. Karen Nishimoto 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 Karen Nishimoto accept?

Health plans from HMSA list Karen 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 Karen Nishimoto was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.