Samuel Magnotto, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-5611-0 Issued in HI

Practice address

270 Hookahi St Ste 207
Wailuku, HI 96793-1466

Phone

(808) 242-1660

Fax

(808) 242-6650

NPI assigned

Jun 12, 2019

Last updated

Jun 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aloha House, Inc.Group PAC ID 8426948316, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Aloha House, Inc.

  • Mental Health Counselor
  • Kahului, HI
  • NPI 1972647477
  Medicare reassignment Care Compare group
• Mending Minds Maui Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Paia, HI
  • NPI 1679499289
  NPD (past) Authorized official

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1699334797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PALEKANA ST",
            "city": "PAIA",
            "state": "HI",
            "postal_code": "967799634",
            "telephone_number": "206-550-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HOOKAHI ST STE 207",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931466",
            "telephone_number": "808-242-1660",
            "fax_number": "808-242-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNOTTO",
        "first_name": "SAMUEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-5611-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Eamon Macdevitt
• Evelyn Macintyre
• Amy Maeda
• Troy H. Maetani, MD
• Deborah Maghen, L.AC.
• Maureen C. Maguire, MD
• Megan Makahanaloa-Antunez
• Makana O Ka Ola Health and Wellness Clinic
• Tigist Nigatu Mammo, MD
• Mana Recovery LLC

• Psychiatric/Mental Health Nurse Practitioner in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.