Individual provider Active NPI

Christine Leishman Nelson, SSW

  • Physician Assistant
  • Kailua Kona, HI
National Provider Identifier
1659581676
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2022013877 Issued in MO
Practice address
75-5751 Kuakini Hwy Ste 101a
Kailua Kona, HI 96740-1705
Phone
(808) 326-5629
NPI assigned
May 22, 2007
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 281934-1206 UT
Physician Assistant 363A00000X 2022013877 MO Primary

Addresses

Primary practice location

75-5751 Kuakini Hwy Ste 101a
Kailua Kona, HI 96740-1705

Mailing address

75-5751 Kuakini Hwy Ste 203
Kailua Kona, HI 96740-1753
Phone (808) 326-5629

Other identifiers 2

IdentifierTypeStateIssuer
NELSOCOtherUTSBHC STAFF CODE
281934-3503OtherUTSTATE LICENSE

Other names 1

  • Christine Leishman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220117000091 UT Practitioner - Physician Assistant 2264824689 Reassigns benefits to 2 organizations
I20240904001177 HI Practitioner - Physician Assistant 2264824689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

68 -1845 Waikoloa Rd
Waikoloa, HI 96738-5581
Phone (808) 769-5160

75-5751 Kuakini Hwy
Kailua Kona, HI 96740

75-5751 Kuakini Hwy
Kailua Kona, HI 96740-1705
Phone (808) 326-5629

81 -980 Halekii St
Kealakekua, HI 96750-8177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2022013877MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Oct 26, 2021 Accepting new patients
Uhs of Provo Canyon, Inc. CurrentSince Aug 16, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Oct 26, 2021 Accepting new patients
West Hawaii Community Health Center, Inc. CurrentSince Aug 5, 2024 Accepting new patients
West Hawaii Community Health Center, Inc. CurrentSince Aug 5, 2024 Accepting new patients

Locations

75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740

75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740

75-5751 Kuakini Hwy
Ste 203
Kailua Kona, HI 96740
Phone (808) 326-3878

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1350 E 750 N
Orem, UT 84097
Phone (801) 229-1036

577 S River Rd
St George, UT 84790
Phone (435) 688-6000

Organizations & group practices 6

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1659581676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY STE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401753",
            "telephone_number": "808-326-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY STE 101A",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401705",
            "telephone_number": "808-326-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHRISTINE",
        "middle_name": "LEISHMAN",
        "credential": "SSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "281934-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2022013877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SBHC STAFF CODE",
            "identifier": "NELSOC",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "281934-3503",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "3 Hospital Dr",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652120001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "LEISHMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.