Individual provider Active NPI

Kaylin Kiani Wong Kaaua, APRN

  • Family Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1114728631
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-5216-0 Issued in HI
Practice address
670 Ponahawai St Ste 200
Hilo, HI 96720-7830
Phone
(808) 961-5922
NPI assigned
Mar 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-5216-0 HI Primary
Registered Nurse 163W00000X RN-91910 HI

Addresses

Primary practice location

670 Ponahawai St Ste 200
Hilo, HI 96720-7830

Mailing address

178 W Kawailani St
Hilo, HI 96720-5472
Phone (808) 756-7061

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
I20251020001926 HI Practitioner - Nurse Practitioner 2062900392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

178 W Kawailani St
Hilo, HI 96720-5472

670 Ponahawai St
Suite 200
Hilo, HI 96720-2695

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-91910HIMDRegistered Nurse
APRN-5216-0HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaylin Kiani Wong Kaaua, FNP-C, LLC Family CurrentSince Aug 9, 2025 Accepting new patients

Locations

670 Ponahawai St
Ste 200
Hilo, HI 96720
Phone (808) 222-8302

Networks

  • HI PPO

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": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1114728631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 W KAWAILANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205472",
            "telephone_number": "808-756-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST STE 200",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207830",
            "telephone_number": "808-961-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAAUA",
        "first_name": "KAYLIN",
        "middle_name": "KIANI WONG",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-5216-0",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-91910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.