Individual provider Active NPI

Jackie L. Meister, CNM

  • Advanced Practice Midwife
  • Hilo, HI
National Provider Identifier
1023454378
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN-2235 Issued in HI
Practice address
1292 Waianuenue Ave
Hilo, HI 96720-1228
Phone
(808) 934-4000
NPI assigned
May 14, 2013
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 652 NM
Advanced Practice Midwife 367A00000X APRN001975 NV
Advanced Practice Midwife 367A00000X APRN-2235 HI Primary

Addresses

Primary practice location

1292 Waianuenue Ave
Hilo, HI 96720-1228

Mailing address

1292 Waianuenue Ave
Hilo, HI 96720-1228
Phone (808) 934-4000

Other identifiers 2

IdentifierTypeStateIssuer
1023454378MedicaidNV
803537MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170406001006 HI Practitioner - Certified Nurse Midwife (CNM) 2264675636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians

Practice addresses (Care Compare)

1292 Waianuenue Ave
Hilo, HI 96720-1228
Phone (808) 934-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN-2235HIMDAdvanced Practice Midwife
APRN001975NVMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Queens North Hawaii Community Hospital Advanced Practice Midwife CurrentSince Mar 10, 2017 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Dec 6, 2021 Accepting new patients
North Hawaii Community Hospital, Inc CurrentSince Mar 10, 2017 Accepting new patients

Locations

1292 Waianuenue Ave
Hilo, HI 96720
Phone (808) 334-4400

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 432-8000

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

Interoperability endpoints

  • Direct secure messaging: jmeister50515@ehrdirect.uhhospitals.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1023454378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201228",
            "telephone_number": "808-934-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1292 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201228",
            "telephone_number": "808-934-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISTER",
        "first_name": "JACKIE",
        "middle_name": "L.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "652",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NV",
            "license": "APRN001975",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "HI",
            "license": "APRN-2235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023454378",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "803537",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1292 Waianuenue Ave",
            "city": "Hilo",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967201228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.