Active NPI
Nicole M Ervin, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Hilo, HI
National Provider Identifier
1881033439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN-4661
- Practice address
- 120 Keawe St # 201
Hilo, HI 96720-2874 - Phone
- (808) 400-6315
- NPI assigned
- Jun 17, 2013
- Last updated
- Apr 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN60568890 | WA | MD | Psychiatric/Mental Health Registered Nurse |
| 201341028RN | OR | MD | Nurse Practitioner |
| 201350111NP | OR | MD | Family Nurse Practitioner |
| APRN-4661 | HI | MD | Psychiatric/Mental Health Nurse Practitioner |
| 202006403NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP60579125 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tranquil Shores Mental Wellness LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Umpqua Community Health Center, Inc. | Past | Accepting new patients | |
| Talking Twenties, PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
| Umpqua Community Health Center, Inc. | Past | Accepting new patients |
Locations
120 Keawe St
#203B
Hilo, HI 96720
Phone (808) 400-6315
Interoperability endpoints
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hilo, HI
- NPI 1790672277
-
dba Talking Twenties
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1700433299
-
- Federally Qualified Health Center (FQHC)
- Glide, OR
- NPI 1609065010
-
dba Aviva Health
- Federally Qualified Health Center (FQHC)
- Roseburg, OR
- NPI 1720803810
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.