Susan Marie Minnich, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-4258 Issued in HI

Practice address

44-129 Kahinani Way
Kaneohe, HI 96744-2569

Phone

(808) 278-0291

NPI assigned

Sep 28, 2023

Last updated

Sep 28, 2023By the provider in NPPES

Sex

Female

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samuel Mahelona Memorial HospitalGroup PAC ID 1759271216, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Samuel Mahelona Memorial Hospital Hospital, Kapaa, HI, CCN 121306
• Kauai Veterans Memorial Hospital Hospital, Waimea, HI, CCN 121300
• Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Samuel Mahelona Memorial Hospital

  • Specialist
  • Kapa'a, HI
  • NPI 1346419553
  Medicare reassignment Care Compare group NPD
• Samuel Mahelona Memorial Hospital

  dba HHSC - Kauai Region Clinics Urgent Care at Poipu

  • Rural Health Clinic/Center
  • Koloa, HI
  • NPI 1033705074
  NPD
• Samuel Mahelona Memorial Hospital

  • Psychiatric Hospital Unit
  • Kapa'a, HI
  • NPI 1255406575
  NPD
• Samuel Mahelona Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Kapa'a, HI
  • NPI 1508927427
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kauai Veterans Memorial Hospital

  • Critical Access Hospital
  • Waimea, HI
  • NPI 1467510743
  Care Compare affiliation
• Samuel Mahelona Memorial Hospital

  • Critical Access Hospital
  • Kapa'a, HI
  • NPI 1619038536
  Care Compare affiliation
• Wilcox Memorial Hospital

  • Rural Acute Care Hospital
  • Lihue, HI
  • NPI 1225113442
  Care Compare affiliation

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1801675814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44-129 KAHINANI WAY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442569",
            "telephone_number": "808-278-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44-129 KAHINANI WAY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442569",
            "telephone_number": "808-278-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNICH",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Mikami
• Riana Miles, LMT
• Gretchen Miller, ATC, CSCS
• Megan N Miller
• Chan Hong Min
• Minuteclinic Diagnostic of Hawaii, L.L.C.
• Minuteclinic Diagnostic of Hawaii, LLC
• Minuteclinic Diagnostic of Hawaii, LLC
• Minuteclinic Primary Care Hawaii LLC
• Erin Miraflor

• Family Nurse Practitioner in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.