MRS. KIMI A PRENTICE (APRN) – Nurse Practitioner, NPI 1467684480
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
887 NURSE PRACTITIONER in HI
Provider Addresses for MRS. KIMI A PRENTICE (APRN)
91-2139 FORT WEAVER RD STE 108
EWA BEACH, HI 967063608
Phone: (808) 676-4224
Type: Location
86-260 Farrington Hwy
Waianae, HI 967923128
Phone: (808) 697-3300
Type: Location
Mahapili Street, Mililani Town, Honolulu County, Hawaii, 96789, United States
MILILANI, HI 967891804
Phone: (808) 753-6790
Type: Mailing
91-2139 FORT WEAVER RD STE 100
EWA BEACH, HI 967063608
Phone: (808) 676-4224
Fax: (808) 676-4220
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $29,361.
Total Amount is formed as General ($29,361) + Research ($0) + Ownership ($0) = $29,361.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($29,212).
Total Amount
$29,361
General + Research + Ownership
Payments
42
Total payment records
General Amount
$29,361
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fresenius USA Marketing, Inc. | $29,212 |
| AstraZeneca Pharmaceuticals LP | $79 |
| Ascendis Pharma Inc | $69 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161229000927 | I | Nurse Practitioner | HI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 117 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 65 | 60 | $0 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 53 | 43 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 25 | 21 | $0 |
| 90966 | Home dialysis services per month (20 years or older) | 14 | 12 | $0 |
Insurance plans in this area (ZIP 96706)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | HI | |
| Physician Assistant | HI | |
| Nurse Practitioner | HI | |
| Nurse Practitioner | HI | |
| Nephrology, Internal Medicine | IL |
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