Rowena Nikki Baysa, ARNP
Individual provider Active NPI Family Nurse Practitioner · Wailuku, HI
NPI 1205409018 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1205409018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3209 (HI)
- Practice address
- 2180 Main St
Wailuku, HI 96793-1625 - Phone
- (808) 242-6464
- NPI assigned
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210826001188 | HI | Practitioner - Nurse Practitioner | 8820493018 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3209 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Medical Group Inc | Current |
Accepting new patients | |
| Nursing Care Hawaii | Current |
Accepting new patients |
Locations
2180 Main St
Wailuku, HI 96793
Phone (808) 242-4267
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3209 | HI | Yes |
Addresses
Primary practice location
2180 Main St
Wailuku, HI 96793-1625
Mailing address
504 Liholiho St
Wailuku, HI 96793-2615
Phone (904) 563-5389
Other providers in Wailuku, HI
- Cienna Battiest
- Bayada Home Care
- Bayada Home Care
- Bayada Home Care
- Bayada Home Care
- Harold Arthur Beck
- Gianelle Kaliangara Becotte
- Derrick J. Beech
- Behavioral Health Associates of Hawaii, LLC
- Behavioral Health Services of Maui, LLC
All providers in Wailuku, HI · Family Nurse Practitioner in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.