Kylie Flickinger

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

AMD-1478 Issued in HI

Practice address

3350 Lower Honoapiilani Rd # 21
Lahaina, HI 96761-8402

Phone

(808) 667-7676

NPI assigned

Aug 22, 2025

Sex

Female

Sole proprietor

No

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

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Group practices

Kaanapali Medical Services IncGroup PAC ID 9739140302, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Kaanapali Medical Services Inc

  • Primary Care Clinic/Center
  • Lahaina, HI
  • NPI 1386704542

  HI

  Medicare reassignment Care Compare group NPD
• Samuel Mahelona Memorial Hospital

  • Specialist
  • Kapaa, HI
  • NPI 1346419553

  HI

  Medicare reassignment

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1699653147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HUI F RD UNIT D",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967619135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 LOWER HONOAPIILANI RD # 21",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967618402",
            "telephone_number": "808-667-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICKINGER",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-1478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian P Edwards, PT
• Norman Michel Estin, M.D.
• Nicole S. Esver, OD
• Samuel L Felton
• Pedro (Peter) Raul Ferrer, PT
• Food Pantry, LTD
• Breanna Suzanne Fort, M.A., CCC-SLP
• Andrew Colin Fuqua
• Vincent Christian Fussell, MD
• Heather Galan, HEATHER GALAN

• All providers in Lahaina, HI
• Physician Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.