Marisa Ann Kimiko Hayashi Shimotsu, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1659 Issued in HI

Practice address

888 S King St
Honolulu, HI 96813-3097

Phone

(808) 532-3159

NPI assigned

Sep 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Home Care Services Home health agency, Kaneohe, HI, CCN 127017
• Careresource Hawaii Home health agency, Honolulu, HI, CCN 127013
• Bristol Hospice - Hawaii, LLC Hospice, Honolulu, HI, CCN 121508

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Queens University Medical Group

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1891441382
  Medicare reassignment Care Compare group NPD
• Straub Clinic & Hospital

  dba Straub Benioff Medical Center

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1457306508
  Medicare reassignment NPD
• The Queen's Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1487693586
  Medicare reassignment NPD
• Straub Clinic & Hospital

  dba Hawaii Pacific Health Specialty Pharmacy

  • Community/Retail Pharmacy
  • Honolulu, HI
  • NPI 1295443216
  NPD
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  NPD
• The Queens Medical Center

  dba Queen's Island Urgent Care

  • Urgent Care Clinic/Center
  • Honolulu, HI
  • NPI 1528691383
  NPD

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

• Bristol Hospice - Hawaii, LLC

  dba Bristol Healthcare Services

  • Community Based Hospice Care Agency
  • Honolulu, HI
  • NPI 1811045594
  Care Compare affiliation
• Careresource Hawaii

  • Home Health Agency
  • Honolulu, HI
  • NPI 1245299114
  Care Compare affiliation
• Western Health Resources

  dba Adventist Health Home Care Services

  • Home Health Agency
  • Kaneohe, HI
  • NPI 1093147886
  Care Compare affiliation

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1053747923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-446 LOLII ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967445910",
            "telephone_number": "808-277-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133097",
            "telephone_number": "808-532-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMOTSU",
        "first_name": "MARISA",
        "middle_name": "ANN KIMIKO HAYASHI",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "757305",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "74443",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23491",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "1659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal T Shimoda, MD
• Casey Shimokawa, R.D.N.
• Sheryl Keiko Malie Shimokawa, PHARM.D.
• Joni Shimomura-Nguyen
• Sylvia K. Shimonishi, PHARM. D.
• Naomi Shimura-Brandt, APRN
• Alexander Shin, MD
• Hyesu Shin, FNP
• Hyunsun Shin, NP
• Maria Divina Shin

• Family Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.