Individual provider Active NPI

Frederic Alarcon, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Laie, HI
National Provider Identifier
1407441975
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-3165 Issued in HI
Practice address
55-510 Kamehameha Hwy Ste 5
Laie, HI 96762-1119
Phone
(808) 263-5011
NPI assigned
Mar 5, 2021
Last updated
Jan 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-3165 HI Primary

Addresses

Primary practice location

55-510 Kamehameha Hwy Ste 5
Laie, HI 96762-1119

Mailing address

PO Box 700765
Kapolei, HI 96709-0765
Phone (619) 471-7596

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
I20210312000855 HI Practitioner - Nurse Practitioner 2860808011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
84.73
Promoting interoperability
89
Improvement activities
40
Cost
71.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-3165HIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Wellness Hawaii Psychiatric/Mental Health CurrentSince Sep 20, 2022 Accepting new patients
Castle Medical Center Current Accepting new patients
Castle Medical Center CurrentSince Apr 1, 2021 Accepting new patients
Castle Medical Center CurrentSince Apr 1, 2021 Accepting new patients
Castle Medical Center PastSince Mar 7, 2021 Accepting new patients

Locations

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

46-001 Kamehameha Hwy
Ste 401
Kaneohe, HI 96744
Phone (808) 247-6070

55-510 Kamehameha Hwy
Ste 5
Laie, HI 96762
Phone (808) 263-5011

Organizations & group practices 5

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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1407441975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700765",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967090765",
            "telephone_number": "619-471-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-510 KAMEHAMEHA HWY STE 5",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621119",
            "telephone_number": "808-263-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALARCON",
        "first_name": "FREDERIC",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-05",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-3165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laie, HI

Sources for this page

Verify at the official NPI Registry.