Individual provider Active NPI

Eucabeth A Kilonzo, APRN

  • Family Nurse Practitioner
  • Waianae, HI
National Provider Identifier
1962887315
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-2532 Issued in HI
Practice address
Waianae Coast Comprehensive Health Center
86-260 Farrington Hwy
Waianae, HI 96792
Phone
(808) 697-3462
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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-2532 HI Primary

Addresses

Primary practice location

Waianae Coast Comprehensive Health Center
86-260 Farrington Hwy
Waianae, HI 96792

Mailing address

754 Hibiscus St
Honolulu, HI 96818-1287
Phone (808) 436-3050

Other practice location 1

USA MEDDAC Bavaria
CMR 411, Bldg 700, Rose Barracks
Apo, AE 09112
Phone 499662834719

Other identifiers 1

IdentifierTypeStateIssuer
1962887315OtherNPPES

Other names 1

  • Eucabeth A Kilonzo Professional name

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
I20191114003635 HI Practitioner - Nurse Practitioner 7911339841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

1314 S King St
FL 2
Honolulu, HI 96814-1938
Phone (808) 691-6789

1380 Lusitana St
Honolulu, HI 96813-2448

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Jan 18, 2021 Accepting new patients
The Queen'S Medical Center Current Accepting new patients
The Queen'S Medical Center Current Accepting new patients
Queens University Medical Group CurrentSince Feb 2, 2024 Accepting new patients
The Queen'S Medical Center CurrentSince Jan 18, 2021 Accepting new patients

Locations

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

Interoperability endpoints

  • Direct secure messaging: eucabeth.kilonzo.p1@direct.wcchc.nextgenshare.com
  • Direct secure messaging: eucabeth.kilonzo@hawaiihie.medicity.net

Organizations & group practices 5

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1962887315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 HIBISCUS ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968181287",
            "telephone_number": "808-436-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAIANAE COAST COMPREHENSIVE HEALTH CENTER",
            "address_2": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "96792",
            "telephone_number": "808-697-3462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "USA MEDDAC Bavaria",
            "address_2": "CMR 411, Bldg 700, Rose Barracks",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "09112",
            "country_code": "US",
            "telephone_number": "499662834719",
            "fax_number": "499662834721",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "KILONZO",
        "first_name": "EUCABETH",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1962887315",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUCABETH",
            "last_name": "KILONZO",
            "middle_name": "A",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.