Individual provider Active NPI

Mikiala Lee Maynard, DNP, FNP, APRN-RX

  • Family Nurse Practitioner
  • Kahului, HI
National Provider Identifier
1922845155
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-4668-0 Issued in HI
Practice address
33 Lono Ave Ste 250
Kahului, HI 96732-1634
Phone
(808) 500-3439
Fax
(808) 229-1227
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-4668-0 HI
Family Nurse Practitioner 363LF0000X APRN-4668-0 HI Primary

Addresses

Primary practice location

33 Lono Ave Ste 250
Kahului, HI 96732-1634

Mailing address

33 Lono Ave Ste 250
Kahului, HI 96732-1634
Phone (808) 500-3439

Other practice location 1

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

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
I20241210003547 HI Practitioner - Nurse Practitioner 2264968569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maui Care Physicians LLCGroup PAC ID 8820456825, 4 clinicians

Practice addresses (Care Compare)

33 Lono Ave
Suite 250
Kahului, HI 96732-1634
Phone (808) 500-3439

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-4668-0HIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Care Physicians LLC CurrentSince Nov 5, 2024 Accepting new patients

Locations

711 Kapiolani Blvd
Ste 500
Honolulu, HI 96813

33 Lono Ave
Ste 250
Kahului, HI 96732
Phone (808) 500-3439

33 Lono Ave
Kahului, HI 96732

Interoperability endpoints

  • Direct secure messaging: mikiala.maynard@594277412438020.direct.elationemr.com

Organizations & group practices 1

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1922845155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LONO AVE STE 250",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321634",
            "telephone_number": "808-500-3439",
            "fax_number": "808-229-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LONO AVE STE 250",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321634",
            "telephone_number": "808-500-3439",
            "fax_number": "808-229-1227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Mahalani St",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932526",
            "country_code": "US",
            "telephone_number": "808-244-9056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "MIKIALA",
        "middle_name": "LEE",
        "credential": "DNP, FNP, APRN-RX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-4668-0",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4668-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.