Individual provider Active NPI

Mie S Fowler, APRN

  • Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1396222782
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN2476 Issued in HI
Practice address
75 Puuhonu PL Ste 100
Hilo, HI 96720-2000
Phone
(808) 933-3800
Fax
(808) 933-3801
NPI assigned
Jul 27, 2018
Last updated
Jul 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN2476 HI Primary

Addresses

Primary practice location

75 Puuhonu PL Ste 100
Hilo, HI 96720-2000

Mailing address

75 Puuhonu PL Ste 100
Hilo, HI 96720-2000
Phone (808) 933-3800

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
I20190212001581 HI Practitioner - Nurse Practitioner 9436497724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kau HospitalGroup PAC ID 7416945548, 138 clinicians

Practice addresses (Care Compare)

1285 Waianuenue Ave
Hilo, HI 96720-1209
Phone (808) 432-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN2476HIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kau Hospital CurrentSince Nov 3, 2019 Accepting new patients
Hilo Benioff Medical Center CurrentSince Dec 25, 2018 Accepting new patients
Kau Hospital CurrentSince Nov 3, 2019 Accepting new patients
Hilo Benioff Medical Center CurrentSince Dec 25, 2018 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

75 Puuhonu Pl
Ste 100
Hilo, HI 96720
Phone (808) 932-3940

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, 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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1396222782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PUUHONU PL STE 100",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202000",
            "telephone_number": "808-933-3800",
            "fax_number": "808-933-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PUUHONU PL STE 100",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202000",
            "telephone_number": "808-933-3800",
            "fax_number": "808-933-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "MIE",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN2476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.