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Active NPI 1467684480 Individual Practitioner Female Practitioner

Kimi A Prentice , APRN

Nurse Practitioner • Ewa Beach, HI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kimi Prentice, APRN is a certified Nurse Practitioner practicing in Ewa Beach, HI. With approximately 18 years of clinical experience since completing medical education in 2008, Kimi Prentice delivers high-quality medical care to the local community at 91-2139 FORT WEAVER RD STE 108.

Kimi Prentice maintains professional affiliations with Waianae District Comprehensive Health And Hospital Board Inc, James He Ireland Md Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include dialysis services, 1 physician visit per month (20 years or older), dialysis services, 2-3 physician visits per month (20 years or older), established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

91-2139 Fort Weaver Rd Ste 108

Ewa Beach, HI 967063608

Telephone 8086764224
Associated Practice Facility / Clinic
🏢 James H.e. Ireland Md, Llc Facility NPI 1659603884

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ewa Beach, HI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +3.3 yrs vs City Avg
City Avg: 14.7 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Ewa Beach, HI (222 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
47.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prentice (18 Years) 18 Yrs
Ewa Beach Specialty Average (14.7 Years) 14.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90962 Dialysis services, 1 physician visit per month (20 years or older)
200 59 $450.00 $173.50
90961 Dialysis services, 2-3 physician visits per month (20 years or older)
93 44 $450.00 $249.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
44 43 $175.00 $108.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
22 17 $220.00 $149.90

Medical Specialties & State Licenses

CMS Verified: 2021-11-11
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License HI 1147

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Waianae District Comprehensive Health And Hospital Board Inc

86-260 Farringtion Hwy, Waianae, HI 967923128

Phone: 8086973300

James He Ireland Md Llc

Ste, Ewa Beach, HI 967063608

James He Ireland Md Llc

91 -2139 Fort Weaver Rd, Ewa Beach, HI 967063608

Phone: 8086764224

Waianae District Comprehensive Health And Hospital Board Inc

86-260 Farringtion Hwy, Waianae, HI 967923128

Secondary Practice Locations

86-260 Farrington Hwy

Waianae, HI 967923128

Phone: 8086973300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Julie Ireland , MD

Medical Genetics - Clinical Genetics (M.D.)

NPI 1285729640

Doctor of Medicine (M.D.)

Dr. James Ireland , MD

Internal Medicine - Nephrology

NPI 1376501171

Doctor of Medicine (M.D.)

Briana Mullen , MSN, NP-C

Nurse Practitioner - Family

NPI 1669775797

Master of Science in Nursing, Nurse Practitioner (Certified)

Aki De Leon , NP-C

Nurse Practitioner - Family

NPI 1720581721

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address November 11, 2021

Registered at 91-2139 FORT WEAVER RD STE 100, EWA BEACH, HI 967063608 (Tel: 8086764224)

NPI Profile Active August 10, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2009

Registered at 91-2139 FORT WEAVER RD STE 108, EWA BEACH, HI 967063608 (Tel: 8086764224)

📍
Updated Business Mailing Address August 10, 2009

Registered at 94-188 MAHAPILI ST, MILILANI, HI 967891804 (Tel: 8087536790)

👤
Provider Name / Credentials Updated August 10, 2009

Recorded as KIMI PRENTICE, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2009

Nurse Practitioner (License #1147 in HI)

🟢
Initial NPI Registration & Enumeration August 10, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467684480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2009
Last Update: November 11, 2021
Sole Proprietor: No

Mailing Address

91-2139 Fort Weaver Rd Ste 100

Ewa Beach, HI 967063608

Phone: 8086764224

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.