Individual provider Active NPI

Julia Caroline Musselman

  • Family Nurse Practitioner
  • Kihei, HI
National Provider Identifier
1144985151
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3312-0 Issued in HI
Practice address
3750 Wailea Alanui Dr
Kihei, HI 96753-8300
Phone
(808) 667-7676
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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 3312-0 HI Primary

Addresses

Primary practice location

3750 Wailea Alanui Dr
Kihei, HI 96753-8300

Mailing address

3750 Wailea Alanui Dr Ste B34
Kihei, HI 96753-8342
Phone (808) 667-7676

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
I20211227000793 HI Practitioner - Nurse Practitioner 1254722390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Kaanapali Medical Services IncGroup PAC ID 9739140302, 5 clinicians

Practice addresses (Care Compare)

3350L Honoapiilani Hwy
Suite 211
Lahaina, HI 96761-9413
Phone (808) 667-7676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3312-0HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaanapali Medical Services Inc CurrentSince Nov 1, 2021 Accepting new patients

Locations

1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707

3350 Lower Honoapiilani Rd
Ste 211
Lahaina, HI 96761
Phone (808) 667-7676

3350 Honoapiilani Hwy
Ste 211
Lahaina, HI 96761
Phone (808) 667-7676

3750 Wailea Alanui Dr
Wailea, HI 96753
Phone (808) 667-7676

3750 Wailea Alanui Dr
Ste B34
Wailea, HI 96753
Phone (808) 667-7676

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": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1144985151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 WAILEA ALANUI DR STE B34",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538342",
            "telephone_number": "808-667-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 WAILEA ALANUI DR",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538300",
            "telephone_number": "808-667-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSELMAN",
        "first_name": "JULIA",
        "middle_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "3312-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

Verify at the official NPI Registry.