Individual provider Active NPI

Cheryl Zorn, APRN

  • Family Nurse Practitioner
  • Pahoa, HI
National Provider Identifier
1255421509
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN891 Issued in HI
Practice address
15-2866 Pahoa Village Rd.
Pahoa, HI 96778-1455
Phone
(808) 965-9711
Fax
(808) 965-6240
NPI assigned
Oct 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN891 HI Primary
Registered Nurse 163W00000X R139942-2 MN
Registered Nurse 163W00000X RN 58036 HI

Addresses

Primary practice location

15-2866 Pahoa Village Rd.
Pahoa, HI 96778-1455

Mailing address

224 Haili St Ste B
Hilo, HI 96720-2975
Phone (808) 961-4072

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
I20061130000458 HI Practitioner - Nurse Practitioner 3971539701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kau HospitalGroup PAC ID 7416945548, 138 clinicians

Practice addresses (Care Compare)

15 -2714 Pahoa Village Rd
Pahoa, HI 96778-9715
Phone (808) 930-6001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 58036HIMDRegistered Nurse
R139942-2MNMDRegistered Nurse
APRN891HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kau Hospital CurrentSince Oct 1, 2019 Accepting new patients
Kau Hospital CurrentSince Oct 1, 2019 Accepting new patients
West Hawaii Community Health Center, Inc. CurrentSince Sep 13, 2006 Accepting new patients
West Hawaii Community Health Center, Inc. Registered Nurse CurrentSince Sep 13, 2006 Accepting new patients
West Hawaii Community Health Center, Inc. Registered Nurse Current Accepting new patients

Locations

1178 Kinoole St
Hilo, HI 96720
Phone (808) 961-4082

450 Kilauea Ave
Ste 105
Hilo, HI 96720
Phone (808) 961-4071

16-192 Pili Mua St
Keaau, HI 96749
Phone (808) 930-0040

15-2866 Pahoa Village Rd
Pahoa, HI 96778
Phone (808) 965-0880

15-2714 Pahoa Village Rd
Unit L5
Pahoa, HI 96778
Phone (808) 729-9090

15-2866 Pahoa Village Rd
Bldg C
Pahoa, HI 96778
Phone (808) 965-9711

Organizations & group practices 5

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 3

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": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1255421509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HAILI ST STE B",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202975",
            "telephone_number": "808-961-4072",
            "fax_number": "808-961-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-2866 PAHOA VILLAGE RD.",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967781455",
            "telephone_number": "808-965-9711",
            "fax_number": "808-965-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORN",
        "first_name": "CHERYL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN891",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R139942-2",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN 58036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahoa, HI

Sources for this page

Verify at the official NPI Registry.