Individual provider Active NPI

Erik Dru Anderson, APRN

  • Adult Health Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1174890107
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1399 Issued in HI
Practice address
1520 Liliha St Ste 601
Honolulu, HI 96817-3564
Phone
(808) 523-0445
NPI assigned
Nov 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1399 HI
Adult Health Nurse Practitioner 363LA2200X 1399 HI Primary

Addresses

Primary practice location

1520 Liliha St Ste 601
Honolulu, HI 96817-3564

Mailing address

1520 Liliha St Ste 601
Honolulu, HI 96817-3564
Phone (775) 322-4550

Other practice location 1

98-211 Pali Momi St Ste 320
Aiea, HI 96701-4306
Phone (808) 523-0445

Other identifiers 1

IdentifierTypeStateIssuer
14559010OtherHICAQH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190617002421 HI Practitioner - Nurse Practitioner 1355674771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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)

1520 Liliha St
Suite 601
Honolulu, HI 96817-3564
Phone (808) 523-0445

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1399HIMDAdult Health Nurse Practitioner

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Rocky Mountain Kidney Care LLC CurrentSince Sep 15, 2024 Accepting new patients
Hawaii Kidney Specialists, LLP CurrentSince Aug 23, 2023 Accepting new patients
Kalihi Palama Health Center Current Accepting new patients

Locations

98-211 Pali Momi St
Ste 320
Aiea, HI 96701
Phone (808) 486-9898

275 Ponahawai St
Ste 202
Hilo, HI 96720
Phone (808) 961-3031

1520 Liliha St
Ste 601
Honolulu, HI 96817
Phone (808) 536-9964

915 N King St
Honolulu, HI 96817
Phone (808) 848-1438

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
  • Direct secure messaging: erik.anderson@hawaiihie.medicity.net
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: eanderson32415@direct.acumenmd.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1174890107",
    "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": "775-322-4550"
        },
        {
            "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"
        }
    ],
    "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": "ANDERSON",
        "first_name": "ERIK",
        "middle_name": "DRU",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-18",
        "last_updated": "2024-05-17",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "HI",
            "license": "1399",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "1399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14559010",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.