Individual provider Active NPI

Ivy Lou Bahian Hibbitt, APRN

  • Family Nurse Practitioner
  • Kahului, HI
National Provider Identifier
1043767726
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN 2160 Issued in HI
Practice address
285 W Kaahumanu Ave Ste 205
Kahului, HI 96732-1623
Phone
(808) 212-8787
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN 2160 HI Primary

Addresses

Primary practice location

285 W Kaahumanu Ave Ste 205
Kahului, HI 96732-1623

Mailing address

26 Hoku Puhipaka St
Kahului, HI 96732-4527
Phone (808) 212-8787

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
I20170816003810 HI Practitioner - Nurse Practitioner 5294007803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Center for Children and Families LLCGroup PAC ID 8820421589, 4 clinicians

Practice addresses (Care Compare)

550 Kunehi St
Apt 206
Kapolei, HI 96707-2069
Phone (808) 674-6641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN 2160HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Hawaii Center for Children and Families, LLC CurrentSince Sep 5, 2025 Accepting new patients

Locations

1600 Kapiolani Blvd
Ste 524
Honolulu, HI 96814
Phone (808) 203-3399

169 Maa St
Ste A
Kahului, HI 96732
Phone (808) 674-6641

285 W Kaahumanu Ave
Ste 205
Kahului, HI 96732
Phone (808) 873-0060

169 Maa St
Kahului, HI 96732
Phone (808) 727-1920

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1043767726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 HOKU PUHIPAKA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967324527",
            "telephone_number": "808-212-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W KAAHUMANU AVE STE 205",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321623",
            "telephone_number": "808-212-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBITT",
        "first_name": "IVY LOU",
        "middle_name": "BAHIAN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN 2160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.