Individual provider Active NPI

Hilarie Lynn, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kamuela, HI
National Provider Identifier
1033641089
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-2748 Issued in HI
Practice address
65-1267 Kawaihae Rd
Kamuela, HI 96743-7345
Phone
(808) 881-4745
NPI assigned
Mar 29, 2017
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC002051 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-2748 HI Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X T20170350 MD

Addresses

Primary practice location

65-1267 Kawaihae Rd
Kamuela, HI 96743-7345

Mailing address

65-1267 Kawaihae Rd
Kamuela, HI 96743-7345
Phone (808) 881-4745

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
I20200417001107 HI Practitioner - Nurse Practitioner 5698047009 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
T20170350MDMDPsychiatric/Mental Health Registered Nurse
APRN-2748HIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Queens North Hawaii Community Hospital CurrentSince Nov 12, 2023 Accepting new patients

Locations

65-1267 Kawaihae Rd
Kamuela, HI 96743
Phone (808) 881-4745

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

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Organizations & group practices 1

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1033641089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1267 KAWAIHAE RD",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437345",
            "telephone_number": "808-881-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1267 KAWAIHAE RD",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437345",
            "telephone_number": "808-881-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "HILARIE",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC002051",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-2748",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "T20170350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.