Individual provider Active NPI

Mai-Lee Eriksson

  • Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1124408547
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1935 Issued in HI
Practice address
550 S Beretania St
Suite 601
Honolulu, HI 96813-2414
Phone
(808) 691-8959
NPI assigned
Jun 1, 2015
Last updated
Jun 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1935 HI Primary
Registered Nurse 163W00000X 61919 HI

Addresses

Primary practice location

550 S Beretania St
Suite 601
Honolulu, HI 96813-2414

Mailing address

550 S Beretania St
Suite 601
Honolulu, HI 96813-2414

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
I20150819008368 HI Practitioner - Nurse Practitioner 9638484678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Hawaii John a. Burns School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohana Pacific Medical LLCGroup PAC ID 0244572378, 7 clinicians
Straub Clinic and HospitalGroup PAC ID 6305759754, 420 clinicians

Practice addresses (Care Compare)

428 Kawaihae St
Apt 148
Honolulu, HI 96825-1291
Phone (808) 930-9858

888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
67.55
Promoting interoperability
100
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61919HIMDRegistered Nurse
1935HIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mi-Health LLC CurrentSince Oct 2, 2023 Accepting new patients
Straub Clinic & Hospital CurrentSince Nov 15, 2021 Accepting new patients
Ohana Pacific Medical LLC CurrentSince Jul 27, 2023 Accepting new patients
Straub Clinic & Hospital CurrentSince Nov 15, 2021 Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

2230 Liliha St
Honolulu, HI 96817
Phone (808) 547-6011

770 Kapiolani Blvd
Ste 114
Honolulu, HI 96813
Phone (808) 666-9960

770 Kapiolani Blvd
Ste 500
Honolulu, HI 96813
Phone (808) 666-9960

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19972/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1124408547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST",
            "address_2": "SUITE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST",
            "address_2": "SUITE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132414",
            "telephone_number": "808-691-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERIKSSON",
        "first_name": "MAI-LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "1935",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "61919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.