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

Michael McKinley Fountain, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1073023115

Michael McKinley Fountain, FNP-BC is a Nurse Practitioner in Kealakekua, Hawaii. Qualified in 2017, 9 years ago. Practices with Ac Med LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia and Hawaii.

Years since qualifying
9
Licensed in
GA, HI
In the registry since
2017
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

79-1019 Haukapila St
Kealakekua, HI 96750-7920
Phone: (808) 322-9311
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-2633 (HI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN240666 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN-2633-0 (HI)

Record details

NPI number1073023115
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 3, 2017
Last updated in NPPESMay 3, 2023
Certification dateSeptember 24, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ac Med Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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