Individual provider Active NPI

Lisa Marie Krumwiede-Zupsich, APRN

  • Family Medicine Physician
  • Kaneohe, HI
National Provider Identifier
1578384889
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN-4722 Issued in HI
Practice address
46-280 Auna St
Kaneohe, HI 96744-4150
Phone
(904) 729-0307
NPI assigned
Oct 19, 2024
Last updated
Oct 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN-4722 HI Primary

Addresses

Primary practice location

46-280 Auna St
Kaneohe, HI 96744-4150

Mailing address

46-280 Auna St
Kaneohe, HI 96744-4150
Phone (904) 729-0307

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
I20250509001289 HI Practitioner - Nurse Practitioner 1759808033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waianae District Comprehensive Health and Hospital Board, Inc Family Medicine Current Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Apr 11, 2025 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc CurrentSince Apr 11, 2025 Accepting new patients

Locations

599 Farrington Hwy
Bldg 1
Kapolei, HI 96707

86-120 Farrington Hwy
Ste 305A
Waianae, HI 96792

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

89-102 Farrington Hwy
Waianae, HI 96792
Phone (808) 380-0626

Interoperability endpoints

  • Direct secure messaging: marie.krumwiedezupsich.p1@direct.wcchc.nextgenshare.com

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": "1729296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1578384889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-280 AUNA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444150",
            "telephone_number": "904-729-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-280 AUNA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444150",
            "telephone_number": "904-729-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMWIEDE-ZUPSICH",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-19",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "APRN-4722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.