Active NPI
Erik Dru Anderson, APRN
- Adult Health Nurse Practitioner
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1399
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14559010 | Other | HI | CAQH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLP
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1399 | HI | MD | Adult Health Nurse Practitioner |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Kidney Care LLC | Current | Accepting new patients | |
| Hawaii Kidney Specialists, LLP | Current | 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
- https://api.platform.athenahealth.com/19427/brand/1/csg/1/fhir/r4
- erik.anderson@hawaiihie.medicity.net
- https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- Federally Qualified Health Center (FQHC)
- Honolulu, HI
- NPI 1457304966
-
- Nephrology Physician
- Lone Tree, CO
- NPI 1861082117
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.