Individual provider Active NPI

Amber Lynn Bhamra, APN

  • Family Nurse Practitioner
  • Kamuela, HI
National Provider Identifier
1437645702
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.017849 Issued in HI
Practice address
64-1032 Mamalahoa Hwy Ste 204
Kamuela, HI 96743-8441
Phone
(808) 887-6543
NPI assigned
Jul 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.017849 HI Primary

Addresses

Primary practice location

64-1032 Mamalahoa Hwy Ste 204
Kamuela, HI 96743-8441

Mailing address

64-1032 Mamalahoa Hwy Ste 204
Kamuela, HI 96743-8441
Phone (808) 887-6543

Other identifiers 1

IdentifierTypeStateIssuer
009010MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20181008001094 IL Order and Referring Only - Nurse Practitioner 9032461702

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.017849HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paniolo Pediatric and Family Medicine Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: abhamra605800@direct.ochin.org

Organizations & group practices 1

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1437645702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-1032 MAMALAHOA HWY STE 204",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438441",
            "telephone_number": "808-887-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-1032 MAMALAHOA HWY STE 204",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438441",
            "telephone_number": "808-887-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAMRA",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "209.017849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009010",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.