Individual provider Active NPI

Crystal Ai Yaple Yamada, APRN

  • Family Nurse Practitioner
  • Makawao, HI
National Provider Identifier
1942893086
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-3155 Issued in HI
Practice address
30 Kupaoa St Ste 208
Makawao, HI 96768-6216
Phone
(808) 207-6563
NPI assigned
Feb 19, 2021
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-3155 HI Primary

Addresses

Primary practice location

30 Kupaoa St Ste 208
Makawao, HI 96768-6216

Mailing address

30 Kupaoa St Ste 208
Makawao, HI 96768-6216

Other practice location 1

1300 N Holopono St Ste 215
Kihei, HI 96753-6945
Phone (808) 874-3444

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
I20210318002703 HI Practitioner - Nurse Practitioner 0840607800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amy Reisenauer MD LLCGroup PAC ID 3173892809, 7 clinicians
Ann C Brewer MD IncGroup PAC ID 7517341167, 2 clinicians

Practice addresses (Care Compare)

1300 N Holopono St
Suite 215
Kihei, HI 96753-6945
Phone (808) 874-3444

30 Kupaoa St
A208
Makawao, HI 96768-6216
Phone (808) 207-6563

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
92.16
Improvement activities
40
Cost
47.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oculofacial Plastic Surgery of Hawaii Inc CurrentSince Aug 4, 2023 Accepting new patients
Ann C Brewer MD Inc CurrentSince May 13, 2023 Accepting new patients
Amy Reisenauer MD LLC CurrentSince Aug 4, 2023 Accepting new patients
RP Medical LLC CurrentSince Feb 16, 2021 Accepting new patients

Locations

270 Dairy Rd
Ste 239
Kahului, HI 96732

1300 N Holopono St
Ste 215
Kihei, HI 96753
Phone (808) 874-3444

30 Kupaoa St
#A207
Makawao, HI 96768
Phone (808) 207-6563

30 Kupaoa St
#A208
Makawao, HI 96768
Phone (808) 207-6563

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": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1942893086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KUPAOA ST STE 208",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967686216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 KUPAOA ST STE 208",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967686216",
            "telephone_number": "808-207-6563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N Holopono St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Kihei",
            "state": "HI",
            "postal_code": "967536945",
            "country_code": "US",
            "telephone_number": "808-874-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMADA",
        "first_name": "CRYSTAL",
        "middle_name": "AI YAPLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

Verify at the official NPI Registry.