Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ibid M Nicolaisen, NP

Individual provider Family Nurse Practitioner · NPI 1780036517

Ibid M Nicolaisen, NP is a Nurse Practitioner in Kealakekua, Hawaii. Graduated from Creighton University School of Medicine in 2016, 10 years ago. Practices with West Hawaii Community Health Center Inc, a 63-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Hawaii and Iowa.

Years since qualifying
10
Trained at
Creighton University School of Medicine
Licensed in
HI, IA
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

81-980 Halekii St Ste 107
Kealakekua, HI 96750-8177
Phone: (808) 324-0703
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75-5751 Kuakini Hwy, Kailua Kona, HI 96740-1752 — (808) 326-5629

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-2139 (HI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence A117690 (IA)

Record details

NPI number1780036517
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 5, 2016
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 25, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice West Hawaii Community Health Center Inc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kealakekua