Individual provider Active NPI

Amanda Tanhchaleun, AGNP-C

  • Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1578042461
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-2501 Issued in HI
Practice address
1301 Punchbowl St
Honolulu, HI 96813-2499
Phone
(808) 691-1000
NPI assigned
Aug 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-2501 HI Primary

Addresses

Primary practice location

1301 Punchbowl St
Honolulu, HI 96813-2499

Mailing address

751 Kinau St Apt 25
Honolulu, HI 96813-2564

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
I20190108002715 HI Practitioner - Nurse Practitioner 0648516997 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hawaii Kidney Specialists LLPGroup PAC ID 5698759066, 29 clinicians
Mi-Health LLCGroup PAC ID 0143605030, 31 clinicians

Practice addresses (Care Compare)

1520 Liliha St
Suite 601
Honolulu, HI 96817-3564
Phone (808) 523-0445

770 Kapiolani Blvd
Suite 500
Honolulu, HI 96813-5258
Phone (808) 666-9960

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Queen's Medical Center CurrentSince Jan 15, 2019 Accepting new patients
The Queens Medical Center CurrentSince Jan 15, 2019 Accepting new patients
Hawaii Kidney Specialists, LLP Nurse Practitioner CurrentSince Mar 1, 2025 Accepting new patients
Mi-Health LLC CurrentSince Jan 1, 2025 Accepting new patients
Rocky Mountain Kidney Care LLC CurrentSince Mar 1, 2025 Accepting new patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince May 1, 2025 Accepting new patients

Locations

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

770 Kapiolani Blvd
Ste 500
Honolulu, HI 96813
Phone (808) 666-9960

1520 Liliha St
Ste 601
Honolulu, HI 96817
Phone (808) 536-9964

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

45-181 Waikalua Rd
Kaneohe, HI 96744
Phone (808) 247-0003

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Interoperability endpoints

  • Direct secure messaging: atanhchaleun73411@direct.acumenmd.com
  • FHIR API: https://api.platform.athenahealth.com/19427/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: amanda.tanhchaleun@532995347120132.direct.elationemr.com

Organizations & group practices 6

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1578042461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 KINAU ST APT 25",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132499",
            "telephone_number": "808-691-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANHCHALEUN",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.