Shellie R Norman, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-1841 Issued in HI

Practice address

75-5995 Kuakini Hwy Ste 443&445
Kailua Kona, HI 96740

Phone

(808) 323-2608

Fax

(808) 885-9793

NPI assigned

Aug 1, 2014

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

Other identifiers 1

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Dermatology LLCGroup PAC ID 7719210459, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Island Dermatology LLC

  • Dermatology Physician
  • Kailua Kona, HI
  • NPI 1497226054
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1841609971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2279",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967452279",
            "telephone_number": "808-323-2608",
            "fax_number": "808-885-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5995 KUAKINI HWY STE 443&445",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-323-2608",
            "fax_number": "808-885-9793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64-1035 MAMALAHO HWY",
            "address_2": "STE J",
            "address_purpose": "LOCATION",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438440",
            "country_code": "US",
            "telephone_number": "808-323-2608",
            "fax_number": "808-885-9793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77-311 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967409754",
            "country_code": "US",
            "telephone_number": "208-292-0292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68-1845 Waikoloa Rd.",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Waikoloa",
            "state": "HI",
            "postal_code": "96739",
            "country_code": "US",
            "telephone_number": "808-323-2608",
            "fax_number": "808-885-9793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "SHELLIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-1841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "APRN-1841",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne L. Noble, PT
• Lauren K Nobles
• Karla K Noel, MD
• Joori Cassie Noh, PHARM. D.
• Norman Goody, MD Inc
• North Kona Urgent Care Center
• Faith Lorraine Northington, MS MHC
• Cathryn Nova, PHD
• Chris S O'Callaghan
• Ryan O'Neil

• Family Nurse Practitioner in Kailua Kona, HI
• Providers in Kailua Kona, 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 Dec 5, 2018; 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.