Individual provider Active NPI

Michelle Momoe Ojiri, APRN

  • Primary Care Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1033574116
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN 2025 Issued in HI
Practice address
633 Ponohawai St
Ste. 101
Hilo, HI 96720
Phone
(808) 885-3627
Fax
(808) 969-3852
NPI assigned
Dec 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN 2025 HI Primary
Gerontology Nurse Practitioner 363LG0600X APRN-2025 HI

Addresses

Primary practice location

633 Ponohawai St
Ste. 101
Hilo, HI 96720

Mailing address

633 Ponohawai St Ste. 101
Hilo, HI 96720
Phone (808) 885-3627

Other names 1

  • Michelle Momoe Soga Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160208000525 HI Practitioner - Nurse Practitioner 5092019307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ecare Hawaii LLCGroup PAC ID 0648693051, 8 clinicians

Practice addresses (Care Compare)

633 Ponahawai St
Suite 101
Hilo, HI 96720-7601
Phone (808) 885-3627

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN 2025HIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ecare Hawaii LLC CurrentSince Jan 1, 2021 Accepting new patients
Darrett Choy MD LLC Past Accepting new patients
Brian Wilson MD L.L.C. Past Accepting new patients

Locations

633 Ponahawai St
Ste 101
Hilo, HI 96720
Phone (808) 885-3627

670 Ponahawai St
Ste 117
Hilo, HI 96720

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFFABD/Endpoint/IFFABD

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1033574116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 PONOHAWAI ST STE. 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-885-3627",
            "fax_number": "808-969-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 PONOHAWAI ST",
            "address_2": "STE. 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-885-3627",
            "fax_number": "808-969-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJIRI",
        "first_name": "MICHELLE",
        "middle_name": "MOMOE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "HI",
            "license": "APRN 2025",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "HI",
            "license": "APRN-2025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SOGA",
            "middle_name": "MOMOE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.