Individual provider Active NPI

Joann Lepke, APRN

  • Family Nurse Practitioner
  • Kihei, HI
National Provider Identifier
1487969739
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-1479 Issued in HI
Practice address
41 E Lipoa St
Suite 21
Kihei, HI 96753-8148
Phone
(808) 875-0511
Fax
(808) 875-8595
NPI assigned
Aug 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN279928 MA
Family Nurse Practitioner 363LF0000X APRN-1479 HI Primary

Addresses

Primary practice location

41 E Lipoa St
Suite 21
Kihei, HI 96753-8148

Mailing address

41E Lipoa St 21
Kihei, HI 96753-8148
Phone (808) 875-0511

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
I20140129001052 HI Practitioner - Nurse Practitioner 4284814922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4520 Kukui St
Suite 101
Kapaa, HI 96746-1770
Phone (808) 855-8380

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN279928MAMDAdult Health Nurse Practitioner
APRN-1479HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermacare Hi LLC Family CurrentSince Jul 1, 2017 Accepting new patients
Hallmark Health Medical Associates Inc Adult Health Past Accepting new patients
Brian a. Stolley MD, Inc PastSince Jul 11, 2015 Accepting new patients

Locations

4520 Kukui St
Ste 101
Kapaa, HI 96746
Phone (808) 821-2707

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1487969739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41E LIPOA ST 21",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538148",
            "telephone_number": "808-875-0511",
            "fax_number": "808-875-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E LIPOA ST",
            "address_2": "SUITE 21",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538148",
            "telephone_number": "808-875-0511",
            "fax_number": "808-875-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPKE",
        "first_name": "JOANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN279928",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-1479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

Verify at the official NPI Registry.