Individual provider Active NPI

Chayata Wongpojanee Otsuka, APRN

  • Family Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1144835018
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-3033 Issued in HI
Practice address
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone
(808) 932-3000
NPI assigned
Sep 8, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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-3033 HI Primary

Addresses

Primary practice location

1190 Waianuenue Ave
Hilo, HI 96720-2089

Mailing address

585 Pilinui PL
Hilo, HI 96720-6232
Phone (808) 854-1343

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
I20201208001987 HI Practitioner - Nurse Practitioner 6709298185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilo Benioff Medical CenterGroup PAC ID 1254422900, 131 clinicians
Kau HospitalGroup PAC ID 7416945548, 138 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kau Hospital CurrentSince Sep 4, 2020 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 12, 2023 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Kau Hospital CurrentSince Sep 4, 2020 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 12, 2023 Accepting new patients
Honokaa Hospital & Skilled Nursing Past Accepting new patients

Locations

1285 Waianuenue Ave
Hilo, HI 96720
Phone (808) 933-0625

1285 Waianuenue Ave
#2
Hilo, HI 96720

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

Organizations & group practices 6

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 1

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": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1144835018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 PILINUI PL",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967206232",
            "telephone_number": "808-854-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202089",
            "telephone_number": "808-932-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTSUKA",
        "first_name": "CHAYATA",
        "middle_name": "WONGPOJANEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.