DR. JESSICA LYNN NISHIKAWA (DNP, FNP-BC) – Family Nurse Practitioner, NPI 1780646695

DR. JESSICA LYNN NISHIKAWA (DNP, FNP-BC) is a healthcare provider. based in Kailua, Hawaii. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-BC. They hold a License No. RN00154976 (WA). The NPI Number for DR. JESSICA LYNN NISHIKAWA (DNP, FNP-BC) is 1780646695

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA LYNN NISHIKAWA (DNP, FNP-BC)
NPI
1780646695
Phone
(509) 432-9641
Address
105 OHANA ST
Enumeration Date
5 April 2006
Last Update Date
27 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8085224000
Graduation Year
2005 (21 years ago)
PAC ID
8729082235
Group Practice PAC ID
6305759754
Professional Enrollment ID
I20110802000487
Address ID
HI968133097HO888XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

887 NURSE PRACTITIONER in HI

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Provider Addresses for DR. JESSICA LYNN NISHIKAWA (DNP, FNP-BC)

  • 105, Ohana Street, Enchanted Lake, Kailua, Honolulu County, Hawaii, 96734, United States

    KAILUA, HI 967342351

    Phone: (509) 432-9641

    Type: Mailing

  • Straub Clinic and Hospital, 888, South King Street, Makiki Kai, Honolulu, Honolulu County, Hawaii, 96813, United States

    HONOLULU, HI 968133097

    Phone: (808) 522-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-06-30 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-08-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110802000487INurse PractitionerHITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2317$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 96734)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305759754View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JESSICA LYNN NISHIKAWA (DNP, FNP-BC)?
NPI 1780646695 is assigned to DR. JESSICA LYNN NISHIKAWA (DNP, FNP-BC) under the national enumeration system.
Is DR. JESSICA LYNN NISHIKAWA (DNP, FNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. JESSICA LYNN NISHIKAWA (DNP, FNP-BC)'s specialty in plain language?
Clinically, the directory lists DR. JESSICA LYNN NISHIKAWA (DNP, FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JESSICA LYNN NISHIKAWA (DNP, FNP-BC)?
The snapshot lists Kailua, Hawaii for DR. JESSICA LYNN NISHIKAWA (DNP, FNP-BC); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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