Individual provider Active NPI

Hollie Scarbro, APRN, RN

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1164138400
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-3837-0 Issued in HI
Practice address
5557 Bennion Dr
Honolulu, HI 96818-3223
Phone
(606) 367-1439
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-3837-0 HI Primary
Registered Nurse 163W00000X HI-97900 HI
Registered Nurse 163W00000X 1141381 KY

Addresses

Primary practice location

5557 Bennion Dr
Honolulu, HI 96818-3223

Mailing address

5557 Bennion Dr
Honolulu, HI 96818-3223
Phone (606) 367-1439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20251007002413 FL Practitioner - Nurse Practitioner 2769989763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Visiting Practitioners, LLCGroup PAC ID 7810239100, 25 clinicians

Practice addresses (Care Compare)

140 S Beach St
Suite 202
Daytona Beach, FL 32114-4409
Phone (888) 506-8836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
HI-97900HIMDRegistered Nurse
1141381KYMDRegistered Nurse
APRN-3837-0HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Visiting Practitioners, LLC CurrentSince Aug 1, 2025 Accepting new patients
Behavioral Health Services of Florida LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

140 S Beach St
Ste 202
Daytona Beach, FL 32114
Phone (888) 506-8836

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1164138400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5557 BENNION DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183223",
            "telephone_number": "606-367-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5557 BENNION DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183223",
            "telephone_number": "606-367-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBRO",
        "first_name": "HOLLIE",
        "credential": "APRN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3837-0",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "HI-97900",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1141381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.