Individual provider Active NPI

Julie Amanda Agno, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1861786238
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-4968 Issued in HI
Practice address
891 Ululani St
Hilo, HI 96720-3982
Phone
(808) 930-0777
NPI assigned
Jun 2, 2011
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-4968 HI Primary

Addresses

Primary practice location

891 Ululani St
Hilo, HI 96720-3982

Mailing address

PO Box 492578
Keaau, HI 96749-2578
Phone (808) 690-4836

Other names 1

  • Julie Amanda Lutz 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
I20250721000372 HI Practitioner - Nurse Practitioner 6406362177 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-4968HIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Hawaii, Inc. CurrentSince May 12, 2025 Accepting new patients
Benchmark Behavioral Health Past Accepting new patients
Care Hawaii, Inc. PastSince Mar 19, 2023 Accepting new patients

Locations

891 Ululani St
Hilo, HI 96720
Phone (808) 930-0777

1345 S Beretania St
Honolulu, HI 96814
Phone (808) 291-5375

1345 S Beretania St
Ste 301
Honolulu, HI 96814
Phone (808) 490-5723

3501 Rice St
Ste 2020
Lihue, HI 96766
Phone (808) 245-7548

Organizations & group practices 3

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": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1861786238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492578",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967492578",
            "telephone_number": "808-690-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 ULULANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203982",
            "telephone_number": "808-930-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNO",
        "first_name": "JULIE",
        "middle_name": "AMANDA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-4968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "LUTZ",
            "middle_name": "AMANDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.