Kaydee Medeiros, PA-C, MCHS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

633 Ponahawai St Ste 101
Hilo, HI 96720-7601

Phone

(808) 885-3627

NPI assigned

Jul 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ecare Hawaii LLCGroup PAC ID 0648693051, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care Home health agency, Hilo, HI, CCN 127312

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Ecare Hawaii LLC

  • Family Medicine Physician
  • Hilo, HI
  • NPI 1326660507
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• B.C.P., Inc.

  • Home Health Agency
  • Hilo, HI
  • NPI 1851650618
  Care Compare affiliation

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1346920923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 PONAHAWAI ST STE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 PONAHAWAI ST STE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207601",
            "telephone_number": "808-885-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "KAYDEE",
        "credential": "PA-C, MCHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan C McMillan
• Miguel Clyde McQueen III
• McReynolds Medical Enterprises LLC
• Dale James McSherry, D.C.
• Donnalyn L Medeiros
• Medical Housecalls Hawaii
• Medipharm Pharmacy LLC
• Chloe Medrano
• Petra Meedt, LPA (TEXAS)
• Jackie L. Meister, CNM

• Physician Assistant in Hilo, HI
• Providers in Hilo, HI by specialty
• Physician Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.