Individual provider Active NPI

Maile Iwalani Alcos, APRN

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1225418759
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-1906 Issued in HI
Practice address
277 Ohua Ave
Honolulu, HI 96815-6612
Phone
(808) 922-4787
Fax
(808) 922-4950
NPI assigned
May 29, 2015
Last updated
May 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2016

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 APRN-1906 HI Primary

Addresses

Primary practice location

277 Ohua Ave
Honolulu, HI 96815-6612

Mailing address

277 Ohua Ave
Honolulu, HI 96815-6612
Phone (808) 922-4787

Other names 1

  • Maile Iwalani Waiwaiole Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150916002463 HI Practitioner - Nurse Practitioner 3375850811 Reassigns benefits to 3 organizations

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
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2499

1380 Lusitana St
Honolulu, HI 96813-2448

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-1906HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Nov 1, 2021 Accepting new patients
The Queen's Medical Center Current Accepting new patients
The Queen's Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Queen's Development Corporation & Subsidiaries CurrentSince Jun 22, 2020 Accepting new patients
Queen's Development Corporation & Subsidiaries CurrentSince Jun 22, 2020 Accepting new patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
John J Cogan MD Inc Past Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

377 Keahole St
Honolulu, HI 96825
Phone (808) 395-4427

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

599 Farrington Hwy
Ste 201
Kapolei, HI 96707
Phone (808) 674-9500

Organizations & group practices 7

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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1225418759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 OHUA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968156612",
            "telephone_number": "808-922-4787",
            "fax_number": "808-922-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 OHUA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968156612",
            "telephone_number": "808-922-4787",
            "fax_number": "808-922-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCOS",
        "first_name": "MAILE",
        "middle_name": "IWALANI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-1906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAILE",
            "last_name": "WAIWAIOLE",
            "middle_name": "IWALANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.