Individual provider Active NPI

Keohikai Michael Laikupu, NP

  • Primary Care Nurse Practitioner
  • Old Orchard Beach, ME
National Provider Identifier
1013672435
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CNP-221606 Issued in ME
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

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Seaside Family Health Care LLC PAGroup PAC ID 2163761032, 3 clinicians

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

LicenseStateTypeSpecialty
RN-87374HIMDRegistered Nurse
RN-83873MEMDRegistered Nurse
APRN-3369HIMDPrimary Care Nurse Practitioner
CNP-221606MEMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Family Health Care LLC PA CurrentSince Jul 27, 2025 Accepting new patients
Kuleana Health & Wellness LLC PastSince Sep 11, 2022 Accepting new patients

Locations

155 Saco Ave
Ste 2A
Old Orchd Bch, ME 04064
Phone (207) 934-4600

Interoperability endpoints

  • Direct secure messaging: keohikai.laikupu.1@16865.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.