Active NPI
Liesl Noel Wyka, N.P.
- Family Nurse Practitioner
- Kailua, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0991022NP
- Practice address
- 970 N Kalaheo Ave Ste C316
Kailua, HI 96734-1883 - Phone
- (808) 488-5555
- NPI assigned
- Sep 24, 2014
- Last updated
- Sep 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0991022NP | CO | Primary |
Addresses
Primary practice location
970 N Kalaheo Ave Ste C316
Kailua, HI 96734-1883
Mailing address
1426 Laamia St
Honolulu, HI 96821-1402
Phone (719) 466-0207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- High Plains Community Health Center Incorporated
Practice addresses (Care Compare)
201 Kendall Dr
Lamar, CO 81052-3939
Phone (719) 336-0261
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0991022NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of Colorado Medical PC | Current | Accepting new patients | |
| High Plains Community Health Center, Incorporated | Current | Accepting new patients | |
| High Plains Community Health Center Incorporated | Current | Accepting new patients | |
| Hana Health | Current | Accepting new patients | |
| Premise Health of Colorado Medical PC | Current | Accepting new patients | |
| Salsman Chiropractic Health Center | Past | Accepting new patients | |
| Hana Health | Past | Accepting new patients |
Locations
1675 Garden of the Gods Rd
Ste 1053
Colorado Springs, CO 80907
Phone (719) 520-7601
201 Kendall Dr
Lamar, CO 81052
Phone (719) 336-0261
Interoperability endpoints
- https://api.platform.athenahealth.com/9596/brand/1/csg/1/fhir/r4
- liesl.wyka.1@9596.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Hana, HI
- NPI 1992811954
-
- Federally Qualified Health Center (FQHC)
- Lamar, CO
- NPI 1700889151
-
dba El Paso County Employee Health Center East
- Primary Care Clinic/Center
- Colorado Springs, CO
- NPI 1497990287
-
- General Practice Physician
- Colorado Springs, CO
- NPI 1235185547
-
dba High Plains Holly Clinic
- Federally Qualified Health Center (FQHC)
- Holly, CO
- NPI 1932596350
-
dba El Paso County Employee Health Center RDC
- Primary Care Clinic/Center
- Colorado Springs, CO
- NPI 1992940951
-
- Family Medicine Physician
- Hana, HI
- NPI 1992728828
-
- Chiropractor
- Colorado Springs, CO
- NPI 1568647550
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prowers Medical Center
- Critical Access Hospital
- Lamar, CO
- NPI 1821052929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1184026809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 LAAMIA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968211402",
"telephone_number": "719-466-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 N KALAHEO AVE STE C316",
"city": "KAILUA",
"state": "HI",
"postal_code": "967341883",
"telephone_number": "808-488-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYKA",
"first_name": "LIESL",
"middle_name": "NOEL",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-24",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0991022NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.