Individual provider Active NPI

Nicole M Ervin, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1881033439
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-4661 Issued in HI
Practice address
120 Keawe St # 201
Hilo, HI 96720-2874
Phone
(808) 400-6315
NPI assigned
Jun 17, 2013
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201341028RN OR
Family Nurse Practitioner 363LF0000X 201350111NP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202006403NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-4661 HI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60579125 WA
Psychiatric/Mental Health Registered Nurse 163WP0808X RN60568890 WA

Addresses

Primary practice location

120 Keawe St # 201
Hilo, HI 96720-2874

Mailing address

PO Box 554
Hilo, HI 96721-0554
Phone (541) 530-2793

Other names 1

  • Nicole Baxter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60568890WAMDPsychiatric/Mental Health Registered Nurse
201341028RNORMDNurse Practitioner
201350111NPORMDFamily Nurse Practitioner
APRN-4661HIMDPsychiatric/Mental Health Nurse Practitioner
202006403NP-PPORMDPsychiatric/Mental Health Nurse Practitioner
AP60579125WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Shores Mental Wellness LLC Psychiatric/Mental Health CurrentSince Aug 10, 2025 Accepting new patients
Umpqua Community Health Center, Inc. PastSince Jul 8, 2013 Accepting new patients
Talking Twenties, PLLC Psychiatric/Mental Health Past Accepting new patients
Umpqua Community Health Center, Inc. PastSince Jul 8, 2013 Accepting new patients

Locations

120 Keawe St
#203B
Hilo, HI 96720
Phone (808) 400-6315

Interoperability endpoints

  • Direct secure messaging: nbaxter530375@direct.peacehealth.org

Organizations & group practices 4

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1881033439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 554",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967210554",
            "telephone_number": "541-530-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KEAWE ST # 201",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202874",
            "telephone_number": "808-400-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201341028RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201350111NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202006403NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-4661",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60579125",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN60568890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BAXTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.