Nicole S Chrysler, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

AMD-447 Issued in HI

Practice address

970 N Kalaheo Ave Ste C306
Kailua, HI 96734-1873

Phone

(808) 263-7383

Fax

(808) 237-5828

NPI assigned

Jul 12, 2005

Last updated

Aug 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID, HI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sarah.chrysler@51915360043012.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fast Help Caregivers

  • Family Medicine Physician
  • Kailua, HI
  • NPI 1477219392
  NPD Authorized official
• Oahu Primary Care PLLC

  • Family Medicine Physician
  • Kailua, HI
  • NPI 1457018970
  NPD Authorized official
• Hawaii Pacific Neuroscience LLC

  • Neurology Physician
  • Honolulu, HI
  • NPI 1043442908
  Medicare reassignment
• Trade Winds Family Medicine, LLC

  • Clinic/Center
  • Kailua, HI
  • NPI 1851529580
  Medicare reassignment
• Coeur D Alene Primary Care PLLC

  • Primary Care Clinic/Center
  • Coeur d'Alene, ID
  • NPI 1922431360
  Medicare reassignment
• Pacific Vascular Associates, LLC

  • Vascular Surgery Physician
  • Aiea, HI
  • NPI 1154888014

  Physician Assistant

  NPD (past)
• Praxis Health, PC

  • Multi-Specialty Clinic/Center
  • Bend, OR
  • NPI 1821068164

  Medical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1043218217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE C306",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341873",
            "telephone_number": "808-263-7383",
            "fax_number": "808-237-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE C306",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341873",
            "telephone_number": "808-263-7383",
            "fax_number": "808-237-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRYSLER",
        "first_name": "NICOLE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80695700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Michael Christ
• Jill Christensen
• Edward B Christenson
• Elizabeth Chen Christenson, M.D.
• Christian W. Boyens, M.D. Inc.
• Allan B. Chun, DOS
• Bren Matthew Chun, D.D.S.
• Mark Courtney Chun, DMD
• Mitchell Chun
• Norman Samuel Chun, DMD

• Physician Assistant in Kailua, HI
• Providers in Kailua, HI by specialty
• Physician Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.