Individual provider Active NPI

Bobbie Jean Kiana Crivello, RN

  • Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1740838150
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN4963 Issued in HI
Practice address
196 Kauhane Ave
Hilo, HI 96720-4725
Phone
(808) 960-5311
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN84486 HI
Nurse Practitioner 363L00000X APRN4963 HI Primary

Addresses

Primary practice location

196 Kauhane Ave
Hilo, HI 96720-4725

Mailing address

196 Kauhane Ave
Hilo, HI 96720-4725
Phone (808) 960-5311

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
I20250627003576 HI Practitioner - Nurse Practitioner 1850804378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 Aupuni St
Suite Ph1014C
Hilo, HI 96720-4246
Phone (808) 982-8800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN84486HIMDRegistered Nurse
APRN4963HIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Island HIV/AIDS Foundation CurrentSince Apr 16, 2025 Accepting new patients

Locations

74-5620 Palani Rd
Ste 101
Kailua Kona, HI 96740
Phone (808) 331-8177

Interoperability endpoints

  • Direct secure messaging: bobbie.jean.crivello.1@20517.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20517/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bobbiejean.crivello@998469219647492.direct.elationemr.com

Organizations & group practices 1

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1740838150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 KAUHANE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204725",
            "telephone_number": "808-960-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 KAUHANE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204725",
            "telephone_number": "808-960-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIVELLO",
        "first_name": "BOBBIE JEAN",
        "middle_name": "KIANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN84486",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN4963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.