Individual provider Active NPI

Rina Kojima Rousek, APRN

  • Nurse Practitioner
  • Makawao, HI
National Provider Identifier
1235596560
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-3157 Issued in HI
Practice address
55 Pukalani St
Makawao, HI 96768-8544
Phone
(808) 242-6464
Fax
(808) 984-7445
NPI assigned
Jan 18, 2016
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-3157 HI Primary
Nurse Practitioner 363L00000X 111953 NE

Addresses

Primary practice location

55 Pukalani St
Makawao, HI 96768-8544

Mailing address

2180 Main St
Wailuku, HI 96793-1625
Phone (808) 242-6464

Other names 1

  • Rina Kojima 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
I20210820001412 HI Practitioner - Nurse Practitioner 0547568313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windward Heart Center LLCGroup PAC ID 2668565144, 4 clinicians

Practice addresses (Care Compare)

30 Kupaoa St
Suite 205
Makawao, HI 96768-6216
Phone (808) 727-8828

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Medical Group Inc CurrentSince Nov 1, 2021 Accepting new patients
Windward Heart Center LLC CurrentSince Sep 1, 2024 Accepting new patients
Castle Medical Center PastSince Sep 1, 2024 Accepting new patients

Locations

25 Maluniu Ave
Ste 201
Kailua, HI 96734
Phone (808) 261-2441

30 Kupaoa St
Ste 205
Makawao, HI 96768
Phone (808) 263-5009

55 Pukalani St
Makawao, HI 96768
Phone (808) 572-8266

221 Piikea Ave
#A
Wailea, HI 96753
Phone (808) 244-6266

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

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1235596560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 MAIN ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931625",
            "telephone_number": "808-242-6464",
            "fax_number": "808-984-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PUKALANI ST",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688544",
            "telephone_number": "808-242-6464",
            "fax_number": "808-984-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSEK",
        "first_name": "RINA",
        "middle_name": "KOJIMA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-3157",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RINA",
            "last_name": "KOJIMA",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Makawao, HI

Sources for this page

Verify at the official NPI Registry.