Individual provider Active NPI

Judy Ko, APRN

  • Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1639609068
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-2279 Issued in HI
Practice address
500 Ala Moana Blvd Ste 6230
Honolulu, HI 96813-4929
Phone
(808) 524-6115
NPI assigned
Jun 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN-2279 HI
Adult Health Nurse Practitioner 363LA2200X APRN-2279 HI
Nurse Practitioner 363L00000X APRN-2279 HI Primary

Addresses

Primary practice location

500 Ala Moana Blvd Ste 6230
Honolulu, HI 96813-4929

Mailing address

PO Box 750033
Atlanta, GA 30374-7833
Phone (855) 963-2100

Other practice location 1

17 La'a St
Unit #B
Kahului, HI 96732-3610
Phone (808) 524-6115

Other practice location 2

98-150 Kaonohi St Ste B219
Aiea, HI 96701-5022
Phone (808) 539-2273

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
I20201030000636 HI Practitioner - Nurse Practitioner 8224448303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners of Hawaii LLCGroup PAC ID 6800338245, 7 clinicians

Practice addresses (Care Compare)

500 Ala Moana Blvd
Suite 6230
Honolulu, HI 96813-4929
Phone (808) 524-6115

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-2279HIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners of Hawaii, LLC CurrentSince Jul 1, 2024 Accepting new patients
Hawaii Cancer Care Inc CurrentSince Oct 1, 2020 Accepting new patients

Locations

98-150 Kaonohi St
Ste B219
Aiea, HI 96701

98-150 Kaonohi St
Ste B219
Aiea, HI 96701
Phone (808) 539-2273

1329 Lusitana St
Ste 307
Honolulu, HI 96813
Phone (808) 524-6115

500 Ala Moana Blvd
Ste 6230
Honolulu, HI 96813
Phone (808) 524-6115

17 Laa St
Unit B
Kahului, HI 96732
Phone (808) 524-6115

Interoperability endpoints

  • Direct secure messaging: judy.ko@532070890209284.direct.elationemr.com

Organizations & group practices 2

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1639609068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750033",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303747833",
            "telephone_number": "855-963-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 6230",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134929",
            "telephone_number": "808-524-6115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 La'a St",
            "address_2": "Unit #B",
            "address_purpose": "LOCATION",
            "city": "Kahului",
            "state": "HI",
            "postal_code": "967323610",
            "country_code": "US",
            "telephone_number": "808-524-6115",
            "fax_number": "808-528-1711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98-150 Kaonohi St Ste B219",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967015022",
            "country_code": "US",
            "telephone_number": "808-539-2273",
            "fax_number": "884-504-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KO",
        "first_name": "JUDY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "HI",
            "license": "APRN-2279",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "APRN-2279",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-2279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.