Mark Anthony Carreon, MSN, ACNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN-2030 Issued in HI

Practice address

1520 Liliha St Ste 601
Honolulu, HI 96817-3564

Phone

(808) 523-0445

Fax

(808) 356-3380

NPI assigned

Dec 10, 2012

Last updated

Apr 11, 2024By the provider in NPPES

Sex

Male

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 HI

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 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hawaii Kidney Specialists LLPGroup PAC ID 5698759066, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.6 of 100Reported as group

Quality

60.09

Promoting interoperability

99

Improvement activities

40

Cost

82.76

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Networks

• HI PPO
• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19427/brand/1/csg/1/fhir/r4
• FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: mcarreon30255@direct.acumenmd.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.

• Hawaii Kidney Specialists, LLP

  • Nephrology Physician
  • Honolulu, HI
  • NPI 1750323440

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Rocky Mountain Kidney Care LLC

  • Nephrology Physician
  • Lone Tree, CO
  • NPI 1861082117
  NPD
• Texas Heart Hospital of the Southwest LLP

  • Nurse Practitioner
  • Plano, TX
  • NPI 1104164755
  NPD (past)

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1063757573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 LILIHA ST STE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173564",
            "telephone_number": "808-523-0445",
            "fax_number": "808-356-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 LILIHA ST STE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173564",
            "telephone_number": "808-523-0445",
            "fax_number": "808-356-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98-211 Pali Momi St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967014306",
            "country_code": "US",
            "telephone_number": "808-523-0445",
            "fax_number": "808-356-3380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARREON",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MSN, ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-10",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-2030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14220842",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Carranza
• Lenora Kathleen Carras, LMT
• Margaret Scarlett Carrasco Arias
• Byron Carrasco, D.P.M.
• Galahad Glenn Kauinohea Carreira Jr., A.T.,C
• Charles Peter Carroll, M.D
• Ruth Carroll, MAT
• Curtis George Carson
• Ivonne Cartagena, NURSE PRACTITIONER
• Andrea Carter

• Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.