Individual provider Active NPI

Tammy Lee Wheeler, APRN-RX

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Hilo, HI
National Provider Identifier
1124193537
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
139 Issued in HI
Practice address
37 Kekaulike St
Hilo, HI 96720-2462
Phone
(808) 959-3513
NPI assigned
Nov 21, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 139 HI
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 139 HI Primary

Addresses

Primary practice location

37 Kekaulike St
Hilo, HI 96720-2462

Mailing address

490 Makani Cir
Hilo, HI 96720-3444
Phone (808) 959-3513

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
I20120229000466 HI Practitioner - Nurse Practitioner 4486812989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3 Government Rd BLDG E
Puna Clinic
Pahoa, HI 96778
Phone (808) 965-7422

37 Kekaulike St
Hilo, HI 96720-2462
Phone (808) 974-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139HIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
State of Hawaii Department of Health CurrentSince Mar 15, 2001 Accepting new patients
State of Hawaii, Department of Health Current Accepting new patients
State of Hawaii Department of Health CurrentSince Mar 15, 2001 Accepting new patients
State of Hawaii Department of Health Past Accepting new patients

Locations

37 Kekaulike St
Hilo, HI 96720
Phone (808) 933-0409

Organizations & group practices 4

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124193537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 MAKANI CIR",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203444",
            "telephone_number": "808-959-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 KEKAULIKE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202462",
            "telephone_number": "808-959-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "TAMMY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "APRN-RX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "139",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "HI",
            "license": "139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.