Dennis McGill, ARNP
Individual provider Active NPI Nurse Practitioner · Koloa, HI
NPI 1154863496 · NPPES record last updated Jul 27, 2024
Key facts
- NPI
- 1154863496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3888 (HI)
- Practice address
- 5418 Nakoa St
Koloa, HI 96756 - Phone
- (808) 742-9140
- Fax
- (808) 207-3805
- NPI assigned
- Nov 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Louisville School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5418 Nakoa St
Koloa, HI 96756-1436
Phone (808) 743-7473
PO Box
Suite 1436
Koloa, HI 96756-1436
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230523000852 | HI | Practitioner - Nurse Practitioner | 5799052437 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71008497A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McGill Healthcare LLC | Nurse Practitioner | Current |
Accepting new patients |
| All Around Care LLC | Nurse Practitioner | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3010790 | KY | |
| Nurse Practitioner | 363L00000X | 71008497A | IN | |
| Family Health Clinical Nurse Specialist | 364SF0001X | 3010790 | KY | |
| Nurse Practitioner | 363L00000X | 3888 | HI | Yes |
Addresses
Primary practice location
5418 Nakoa St
Koloa, HI 96756
Mailing address
PO Box 1436
Koloa, HI 96756-1436
Phone (808) 742-9140
Other providers in Koloa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.