Individual provider Active NPI

Autumn June McKillip, FNP

  • Family Nurse Practitioner
  • Schofield Barracks, HI
National Provider Identifier
1487326906
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5586 Issued in HI
Practice address
Building 684 Waianae Avenue
Schofield Barracks, HI 96786
Phone
(808) 433-8045
NPI assigned
Oct 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 5586 HI Primary

Addresses

Primary practice location

Building 684 Waianae Avenue
Schofield Barracks, HI 96786

Mailing address

Building 684 Waianae Avenue
Schofield Barracks, HI 96786
Phone (808) 433-8045

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
I20260130001405 HI Practitioner - Nurse Practitioner 3577959063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Hawaii, LLCGroup PAC ID 6507092863, 28 clinicians

Practice addresses (Care Compare)

590 Farrington Hwy
Unit 300
Kapolei, HI 96707-2002
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5586HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince Jan 15, 2026 Accepting new patients

Locations

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500

590 Farrington Hwy
Unit 300
Kapolei, HI 96707
Phone (808) 428-1965

Interoperability endpoints

  • Direct secure messaging: autumn.mckillip.1@9763.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1633219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1487326906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUILDING 684 WAIANAE AVENUE",
            "city": "SCHOFIELD BARRACKS",
            "state": "HI",
            "postal_code": "96786",
            "telephone_number": "808-433-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 684 WAIANAE AVENUE",
            "city": "SCHOFIELD BARRACKS",
            "state": "HI",
            "postal_code": "96786",
            "telephone_number": "808-433-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKILLIP",
        "first_name": "AUTUMN",
        "middle_name": "JUNE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-03",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "5586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schofield Barracks, HI

Sources for this page

Verify at the official NPI Registry.