Individual provider Active NPI

Quanae Lill, APRN-RX

  • Psychiatric/Mental Health Nurse Practitioner
  • Kailua, HI
National Provider Identifier
1902578008
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-3304 Issued in HI
Practice address
970 N Kalaheo Ave Ste A214
Kailua, HI 96734-1857
Phone
(808) 941-9648
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APRN-3304 HI Primary

Addresses

Primary practice location

970 N Kalaheo Ave Ste A214
Kailua, HI 96734-1857

Mailing address

970 N Kalaheo Ave Ste A214
Kailua, HI 96734-1857
Phone (808) 238-1953

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
I20240716002913 HI Practitioner - Nurse Practitioner 0446795264 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-3304HIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hoala I Ke Ola LLC Single Specialty CurrentSince May 1, 2024 Accepting new patients
Optum Behavioral Care of Ohio, Inc. Single Specialty CurrentSince Jan 13, 2025 Accepting new patients
Optum Behavioral Care of Ohio, Inc Single Specialty CurrentSince Jan 13, 2025 Accepting new patients

Locations

98-084 Kamehameha Hwy
Ste 304
Aiea, HI 96701
Phone (808) 486-1020

1130 N Nimitz Hwy
Rm C303
Honolulu, HI 96817
Phone (808) 450-0925

801 S Beretania St
Honolulu, HI 96813
Phone (808) 753-3935

438 Hobron Ln
Ste 405
Honolulu, HI 96815
Phone (808) 941-9648

850 W Hind Dr
Ste 210
Honolulu, HI 96821
Phone (808) 247-7770

970 N Kalaheo Ave
Ste A214
Kailua, HI 96734
Phone (801) 580-0622

Interoperability endpoints

  • Direct secure messaging: quanae.lill.1@28621.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1902578008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE A214",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341857",
            "telephone_number": "808-238-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE A214",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341857",
            "telephone_number": "808-941-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILL",
        "first_name": "QUANAE",
        "name_prefix": "Ms.",
        "credential": "APRN-RX",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2023-10-16",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-3304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.