Individual provider Active NPI

Gianelle Kaliangara Becotte

  • Family Nurse Practitioner
  • Wailuku, HI
National Provider Identifier
1073499208
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-5398-0 Issued in HI
Practice address
2180 Main St
Wailuku, HI 96793-1625
Phone
(408) 914-5986
Fax
(408) 914-5986
NPI assigned
Aug 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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-5398-0 HI Primary

Addresses

Primary practice location

2180 Main St
Wailuku, HI 96793-1625

Mailing address

2180 Main St
Wailuku, HI 96793-1666
Phone (808) 242-6464

Other names 1

  • Gianelle Salazar Kaliangara 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
I20251118003801 HI Practitioner - Nurse Practitioner 3577958644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maui Medical Group IncGroup PAC ID 7214823368, 68 clinicians

Practice addresses (Care Compare)

2180 Main St
Wailuku, HI 96793-1625
Phone (808) 242-6464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-5398-0HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Medical Group Inc CurrentSince Nov 17, 2025 Accepting new patients

Locations

2180 Main St
Wailuku, HI 96793
Phone (808) 242-4267

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1073499208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 MAIN ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931666",
            "telephone_number": "808-242-6464",
            "fax_number": "808-249-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 MAIN ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931625",
            "telephone_number": "408-914-5986",
            "fax_number": "408-914-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECOTTE",
        "first_name": "GIANELLE",
        "middle_name": "KALIANGARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-5398-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIANELLE",
            "last_name": "KALIANGARA",
            "middle_name": "SALAZAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.