Active NPI
Keohikai Michael Laikupu, NP
- Primary Care Nurse Practitioner
- Old Orchard Beach, ME
National Provider Identifier
1013672435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- CNP-221606
- Practice address
- 155 Saco Ave Ste 2a
Old Orchard Beach, ME 04064-1623 - Phone
- (207) 937-8254
- Fax
- (844) 824-7835
- NPI assigned
- Nov 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | CNP-221606 | ME | Primary |
| Registered Nurse | 163W00000X | RN-83873 | ME | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN-3369 | HI | |
| Registered Nurse | 163W00000X | RN-87374 | HI |
Addresses
Primary practice location
155 Saco Ave Ste 2a
Old Orchard Beach, ME 04064-1623
Mailing address
155 Saco Ave Ste 2a
Old Orchard Beach, ME 04064-1623
Phone (207) 937-9254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251009001600 | ME | Practitioner - Nurse Practitioner | 6406353937 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Saco Ave
Suite 2a
Old Orchard Beach, ME 04064-1600
Phone (207) 937-8254
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-87374 | HI | MD | Registered Nurse |
| RN-83873 | ME | MD | Registered Nurse |
| APRN-3369 | HI | MD | Primary Care Nurse Practitioner |
| CNP-221606 | ME | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seaside Family Health Care LLC PA | Current | Accepting new patients | |
| Kuleana Health & Wellness LLC | Past | Accepting new patients |
Locations
155 Saco Ave
Ste 2A
Old Orchd Bch, ME 04064
Phone (207) 934-4600
Interoperability endpoints
- keohikai.laikupu.1@16865.direct.athenahealth.com
- https://api.platform.athenahealth.com/16865/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Keaau, HI
- NPI 1346961703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1013672435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 SACO AVE STE 2A",
"city": "OLD ORCHARD BEACH",
"state": "ME",
"postal_code": "040641623",
"telephone_number": "207-937-9254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 SACO AVE STE 2A",
"city": "OLD ORCHARD BEACH",
"state": "ME",
"postal_code": "040641623",
"telephone_number": "207-937-8254",
"fax_number": "844-824-7835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIKUPU",
"first_name": "KEOHIKAI",
"middle_name": "MICHAEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-01",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "ME",
"license": "CNP-221606",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ME",
"license": "RN-83873",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "HI",
"license": "APRN-3369",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "RN-87374",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Orchard Beach, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.