Nicholas Alexander Atkinson, AGPCNP

Individual provider Active NPI Adult Health Nurse Practitioner · Kahului, HI

NPI 1194295170 · NPPES record last updated Jan 29, 2019

Key facts

NPI
1194295170
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
2603 (HI)
Practice address
472 Kaulana St
Kahului, HI 96732-2050
Phone
(808) 877-2761
NPI assigned
Dec 3, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maui Medical Group Inc (68 clinicians)

Practice addresses (Care Compare)

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 242-9056

Hospital & facility affiliations

  • Maui Memorial Medical Center Hospital · Wailuku, HI · CCN 120002

Merit-based Incentive Payment System (MIPS)

Final score
84.93 of 100 (group)
Quality
70.26
Promoting interoperability
90
Improvement activities
40
Cost
87.85

Medicare participation

Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190315002326 HI Practitioner - Nurse Practitioner 4688914310 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN282157GAMDRehabilitation Registered Nurse
92269HIMDRehabilitation Registered Nurse
2603HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Medical Group Inc Current
since Jan 7, 2018
Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC Past Accepting new patients

Locations

472 Kaulana St
Kahului, HI 96732
Phone (808) 877-2761

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

2180 Main St
Wailuku, HI 96793
Phone (808) 242-4267

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Registered Nurse 163WR0400X RN282157 GA
Rehabilitation Registered Nurse 163WR0400X 92269 HI
Adult Health Nurse Practitioner 363LA2200X 2603 HI Yes

Addresses

Primary practice location

472 Kaulana St
Kahului, HI 96732-2050

Mailing address

155 Wailea Ike PL Apt 14
Kihei, HI 96753-9565
Phone (678) 939-2209

Other providers in Kahului, HI

All providers in Kahului, HI · Adult Health Nurse Practitioner in Hawaii

Sources for this page

Verify at the official NPI Registry.