Individual provider Active NPI

Liesl Noel Wyka, N.P.

  • Family Nurse Practitioner
  • Kailua, HI
National Provider Identifier
1184026809
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0991022NP Issued in CO
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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 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, 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
I20151207002909 CO Practitioner - Nurse Practitioner 8628378056 Reassigns benefits to 3 organizations
I20250325001680 HI Practitioner - Nurse Practitioner 8628378056 Reassigns benefits to 1 organization

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 IncorporatedGroup PAC ID 8527031533, shared by 3 NPIs, 23 clinicians

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

LicenseStateTypeSpecialty
APN.0991022NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Colorado Medical PC CurrentSince Dec 1, 2018 Accepting new patients
High Plains Community Health Center, Incorporated CurrentSince May 1, 2023 Accepting new patients
High Plains Community Health Center Incorporated CurrentSince May 1, 2023 Accepting new patients
Hana Health CurrentSince Jan 13, 2025 Accepting new patients
Premise Health of Colorado Medical PC CurrentSince Dec 1, 2018 Accepting new patients
Salsman Chiropractic Health Center PastSince Oct 1, 2015 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

  • FHIR API: https://api.platform.athenahealth.com/9596/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.