Individual provider Active NPI

Elyse F Dufour-Collins, FNP

  • Family Nurse Practitioner
  • Lihue, HI
National Provider Identifier
1700457447
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-3496 Issued in HI
Practice address
4473 Pahee St Ste L
Lihue, HI 96766-2037
Phone
(808) 632-0200
Fax
(808) 632-0201
NPI assigned
Jul 4, 2021
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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-3496 HI Primary

Addresses

Primary practice location

4473 Pahee St Ste L
Lihue, HI 96766-2037

Mailing address

PO Box 3068
Portland, OR 97208-3068
Phone (503) 229-7976

Other names 1

  • Elyse F Dufour Former name

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
I20240208002501 HI Practitioner - Nurse Practitioner 3577906361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Renal Clinic IncGroup PAC ID 8628065836, 39 clinicians

Practice addresses (Care Compare)

4473 Pahee St
Suite L
Lihue, HI 96766-2037
Phone (808) 632-0200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-3496HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Renal Clinic, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Northwest Renal Clinic, Inc. CurrentSince Feb 1, 2024 Accepting new patients

Locations

4473 Pahee St
Ste L
Lihue, HI 96766
Phone (808) 632-0200

105 Maui Lani Pkwy
Ste 100
Wailuku, HI 96793
Phone (808) 244-9555

1130 NW 22nd Ave
Ste 640
Portland, OR 97210
Phone (503) 229-7976

Interoperability endpoints

  • Direct secure messaging: edufourcollins61960@direct.acumenmd.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, 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": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1700457447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3068",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083068",
            "telephone_number": "503-229-7976",
            "fax_number": "503-274-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4473 PAHEE ST STE L",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662037",
            "telephone_number": "808-632-0200",
            "fax_number": "808-632-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFOUR-COLLINS",
        "first_name": "ELYSE",
        "middle_name": "F",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-04",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSE",
            "last_name": "DUFOUR",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.