Individual provider Active NPI

Kathryn Nekoba-Lev

  • Family Nurse Practitioner
  • Kapolei, HI
National Provider Identifier
1629484357
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN - 1735 Issued in HI
Practice address
590 Farrington Hwy Unit 300
Kapolei, HI 96707-2002
Phone
(866) 389-2727
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 APRN - 1735 HI Primary

Addresses

Primary practice location

590 Farrington Hwy Unit 300
Kapolei, HI 96707-2002

Mailing address

590 Farrington Hwy Unit 300
Kapolei, HI 96707-2002

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
I20141112000042 HI Practitioner - Nurse Practitioner 5698997419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
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

98 -1005 Moanalua Rd
Aiea, HI 96701-4777
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
85.68 of 100Reported as group
Quality
76.52
Improvement activities
40
Cost
95.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN - 1735HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince Sep 29, 2014 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Aug 29, 2025 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Aug 29, 2025 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Aug 29, 2025 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

511 N Hollywood Way
Burbank, CA 91505
Phone (818) 841-0710

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

7096 N West Ave
Fresno, CA 93711
Phone (559) 436-0471

14330 Culver Dr
Irvine, CA 92604
Phone (949) 559-8129

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

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

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

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1629484357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 FARRINGTON HWY UNIT 300",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 FARRINGTON HWY UNIT 300",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072002",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEKOBA-LEV",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN - 1735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

Verify at the official NPI Registry.