Nicole Yazdanpour, AGACNP-BC,RNFA, CNOR

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN-3954 Issued in HI

Practice address

99-115 Aiea Heights Dr Ste 276
Aiea, HI 96701-3967

Phone

(808) 784-3050

NPI assigned

Dec 20, 2022

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pali Momi Medical CenterGroup PAC ID 6406746916, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
• Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022

Merit-based Incentive Payment System (MIPS)

Final score

65.15 of 100Reported as group

Quality

16.73

Improvement activities

40

Cost

78.22

Merit-based Incentive Payment System (MIPS)

Final score

70.16 of 100Reported as group

Quality

40

Improvement activities

40

Cost

71.98

Merit-based Incentive Payment System (MIPS)

Final score

83.35 of 100Reported as group

Quality

67.49

Promoting interoperability

100

Improvement activities

40

Cost

77

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.yazdanpour.p1@direct.wcchc.nextgenshare.com

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.

• Pali Momi Medical Center

  • Multi-Specialty Clinic/Center
  • Aiea, HI
  • NPI 1275588329
  Medicare reassignment Care Compare group NPD
• Pacific Vascular Institute-Kona

  • Clinic/Center
  • Kailua Kona, HI
  • NPI 1720697931
  NPD
• Pali Momi Medical Center

  dba Pali Momi Medical Center Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Aiea, HI
  • NPI 1851364731
  NPD
• Russell N Harada MD Inc

  • Specialist
  • Aiea, HI
  • NPI 1528223971
  NPD

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

• Pali Momi Medical Center

  • General Acute Care Hospital
  • Aiea, HI
  • NPI 1013961408
  Care Compare affiliation
• Straub Clinic & Hospital

  dba Straub Benioff Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1720031701
  Care Compare affiliation

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1417669532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1062 KAUNOA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063530",
            "telephone_number": "808-429-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-115 AIEA HEIGHTS DR STE 276",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013967",
            "telephone_number": "808-784-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98-1079 Moanalua Rd",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967014713",
            "country_code": "US",
            "telephone_number": "808-486-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAZDANPOUR",
        "first_name": "NICOLE",
        "credential": "AGACNP-BC,RNFA, CNOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "HI",
            "license": "APRN-3954",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "HI",
            "license": "RN-71056",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417669532",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Han Yang, LAC
• Stephen Shigeo Yano, MD
• Victoria Monique Yao, FNP-C, APRN
• Elise Yap
• Mikela Haldeman Yarawamai, MD
• Rumunique KMD Yee Poong
• Kelly Yee
• Keolamau Siu Lin Yee, MD
• Douglas Yeung
• Kaitlyn Yi

• Acute Care Nurse Practitioner in Aiea, HI
• Providers in Aiea, HI by specialty
• Acute Care Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.