JUDY KO (APRN) – Nurse Practitioner, NPI 1639609068
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
887 NURSE PRACTITIONER in HI
Provider Addresses for JUDY KO (APRN)
17 La'a St
Unit #B
Kahului, HI 967323610
Phone: (808) 524-6115
Fax: (808) 528-1711
Type: Location
PO BOX 750033
ATLANTA, GA 303747833
Phone: (855) 963-2100
Type: Mailing
98-150 Kaonohi St Ste B219
Aiea, HI 967015022
Phone: (808) 539-2273
Fax: (884) 504-1315
Type: Location
5323 UHI UHI ST
HONOLULU, HI 968211929
Phone:
Type: Mailing
Lusitana Street, Punchbowl, Honolulu, Honolulu County, Hawaii, 96817-1713, United States
HONOLULU, HI 968132435
Phone: (808) 524-6115
Type: Location
500 ALA MOANA BLVD STE 6230
HONOLULU, HI 968134929
Phone: (808) 524-6115
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 273 Open Payments records for all available years, with a total value of $7,575.
Total Amount is formed as General ($7,575) + Research ($0) + Ownership ($0) = $7,575.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($832).
Total Amount
$7,575
General + Research + Ownership
Payments
273
Total payment records
General Amount
$7,575
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $832 |
| PFIZER INC. | $621 |
| Incyte Corporation | $472 |
| Astellas Pharma US Inc | $298 |
| ABBVIE INC. | $220 |
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: 2020-10-30
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 |
|---|---|---|---|---|
| I20201030000636 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96732)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Medical Oncology, Hematology/Oncology | HI | |
| Hematology/Oncology, Internal Medicine | HI | |
| Hematology, Internal Medicine | HI | |
| Hematology/Oncology, Internal Medicine | HI | |
| Nurse Practitioner | HI | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | HI |
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