Nicole Yazdanpour, AGACNP-BC,RNFA, CNOR - Medicare Nurse Practitioner in Aiea, HI

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Nicole Yazdanpour, AGACNP-BC,RNFA, CNOR is a medicare enrolled "Nurse Practitioner - Acute Care" in Aiea, Hawaii. Her current practice location is 99-115 Aiea Heights Dr Ste 276, Aiea, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 784-3050.

Nicole Yazdanpour is licensed to practice in Hawaii (license number APRN-3954) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417669532.

Contact Information

Nicole Yazdanpour, AGACNP-BC,RNFA, CNOR
99-115 Aiea Heights Dr Ste 276,
Aiea, HI 96701-3967
(808) 784-3050
Not Available

Map and Direction




Provider's Profile

Full NameNicole Yazdanpour
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location99-115 Aiea Heights Dr Ste 276, Aiea, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417669532
  • Provider Enumeration Date: 12/20/2022
  • Last Update Date: 02/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436524576
  • Enrollment ID: I20230404000309

Medical Identifiers

Medical identifiers for Nicole Yazdanpour such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417669532NPI-NPPES
1417669532MedicaidHI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WR0006XRegistered Nurse - Registered Nurse First Assistant RN-71056 (Hawaii)Secondary
363LA2100XNurse Practitioner - Acute Care APRN-3954 (Hawaii)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Yazdanpour allows following entities to bill medicare on her behalf.
Entity NamePali Momi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275588329
PECOS PAC ID: 6406746916
Enrollment ID: O20040318000395
Entity NamePacific Vascular Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154888014
PECOS PAC ID: 9537598859
Enrollment ID: O20200407001409
Entity NamePacific Vascular Institute Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275167348
PECOS PAC ID: 2365852381
Enrollment ID: O20201103001713
Entity NamePacific Vascular Institute-kona
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720697931
PECOS PAC ID: 2769893353
Enrollment ID: O20201203001506

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Yazdanpour is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Yazdanpour, AGACNP-BC,RNFA, CNOR
91-1062 Kaunoa St,
Ewa Beach, HI 96706-3530

Ph: (808) 429-4943		Nicole Yazdanpour, AGACNP-BC,RNFA, CNOR
99-115 Aiea Heights Dr Ste 276,
Aiea, HI 96701-3967

Ph: (808) 784-3050

Reviews and Comments


Nurse Practitioner Nurses in Aiea, HI

Charlotte Nakanishi Yuen, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 99-902 Moanalva Road, Halawa Correctional Facility, Aiea, HI 96701
Phone: 808-484-5426    Fax: 808-484-6955
Dr. Seiichi Nakamura, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 98-1005 Moanalua Rd, Aiea, HI 96701
Phone: 808-488-0958    
Kristina Marie Virata Halloran, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 99-128 Aiea Heights Dr Ste 703, Aiea, HI 96701
Phone: 808-487-7938    
Tiffany Takushi,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 98-1005 Moanalua Rd, #400, Aiea, HI 96701
Phone: 866-389-2727    
Mrs. Shelby L Wilcox, AGACNP-BC, MSN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 98-1079 Moanalua Rd Ste 300, Aiea, HI 96701
Phone: 808-485-4120    
Jeanne Nicole Marie Robertson-leong,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 98-023 Hekaha St Ste 207, Aiea, HI 96701
Phone: 808-620-8998    
Mrs. Marianela Ruiz Jacob,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 98-025 Hekaha St Ste 4, Bldg 4, Aiea, HI 96701
Phone: 808-488-9449    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.