Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Marisa Ann Kimiko Hayashi Shimotsu, FNP-BC

Individual provider Registered Nurse · NPI 1053747923

Mrs. Marisa Ann Kimiko Hayashi Shimotsu, FNP-BC is a Nurse Practitioner in Honolulu, Hawaii. Qualified in 2013, 13 years ago. Practices with Queens University Medical Group, a 623-clinician group and accepts Medicare assignment. Licensed in California and Hawaii.

Years since qualifying
13
Licensed in
CA, HI
In the registry since
2013
Specialties on file
4
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

888 S King St
Honolulu, HI 96813-3097
Phone: (808) 532-3159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1659 (HI)
Registered Nurse Taxonomy 163W00000X · Licence 757305 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 74443 (HI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 23491 (CA)

Record details

NPI number1053747923
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 23, 2013
Last updated in NPPESAugust 17, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Queens University Medical Group — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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