Skip to content

Ibid M. Nicolaisen, NP

NPI 1780036517ActiveIndividual· Nurse Practitioner, Family· Kealakekua, HI

Nurse Practitioner, Family (NP) in Kealakekua, Hawaii, trained at Creighton University School of Medicine (class of 2016). Their prescriptions cost Medicare Part D more than their services did: $1,147,619 for 3,709 claims, against $562.17 paid for services in 2024.

Overview

NPI1780036517
StatusActive
Entity typeIndividual
CredentialNP
Sole proprietorNo
NPI issuedJul 5, 2016
Last updated in NPPESFeb 25, 2021
Certified by providerFeb 25, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000XAPRN-2139HI
Nurse Practitioner, Family363LF0000XA117690IA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (HI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients27
Services billed37 across 8 procedure codes
Paid by Medicare$562.17

Part D prescriptions in 2024

Prescriptions (claims)3,709 · 8,129 30-day fills
Patients293
Total drug cost$1,147,619
Generic share81% of claims

Medicare sources and data years

Education and affiliations

Medical schoolCreighton University School of Medicine
Graduation year2016
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner, Family providers in Kealakekua

All Nurse Practitioner, Family providers in Hawaii →