Individual provider Active NPI

Heather Milovina, CNM

  • Advanced Practice Midwife
  • Wailuku, HI
National Provider Identifier
1154872273
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN-2446 Issued in HI
Practice address
1881 Nani St
Wailuku, HI 96793-1811
Phone
(808) 872-4009
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN-2446 HI Primary
Advanced Practice Midwife 367A00000X 235829 CA

Addresses

Primary practice location

1881 Nani St
Wailuku, HI 96793-1811

Mailing address

PO Box 880243
Pukalani, HI 96788-0243
Phone (323) 605-1149

Other names 1

  • Heather Milovina Mancini Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190514002473 HI Practitioner - Certified Nurse Midwife (CNM) 7719220706 Reassigns benefits to 1 organization
I20220624001797 HI Practitioner - Nurse Practitioner 7719220706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Clinic of Maui IncGroup PAC ID 2466365440, 20 clinicians

Practice addresses (Care Compare)

1881 Nani St
Wailuku, HI 96793-1811
Phone (808) 871-7772

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235829CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Clinic of Maui, Inc. CurrentSince Feb 23, 2022 Accepting new patients
Community Clinic of Maui, Inc. CurrentSince Feb 6, 2019 Accepting new patients
Community Clinic of Maui, Inc. CurrentSince Feb 6, 2019 Accepting new patients
Community Clinic of Maui, Inc. PastSince Apr 14, 2024 Accepting new patients

Locations

1881 Nani St
Wailuku, HI 96793
Phone (808) 871-7772

Interoperability endpoints

  • Direct secure messaging: heather.milovina.1@18081.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1154872273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880243",
            "city": "PUKALANI",
            "state": "HI",
            "postal_code": "967880243",
            "telephone_number": "323-605-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931811",
            "telephone_number": "808-872-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOVINA",
        "first_name": "HEATHER",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "HI",
            "license": "APRN-2446",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "235829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MANCINI",
            "middle_name": "MILOVINA",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.