Cherokee Rose Lee Rova, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11206 Issued in MN

Practice address

4488 Hanalei Plantation Rd
Princeville, HI 96722-5462

Phone

(808) 320-7300

NPI assigned

Nov 1, 2010

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 2

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, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Makana North Shore DermatologyGroup PAC ID 1951891902, 7 clinicians

The Makana North Shore ClinicGroup PAC ID 8426308883, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Makana North Shore Dermatology

  • Dermatology Physician
  • Princeville, HI
  • NPI 1356149892
  Medicare reassignment Care Compare group NPD
• The Makana North Shore Clinic

  • Urgent Care Clinic/Center
  • Princeville, HI
  • NPI 1114431632
  Medicare reassignment Care Compare group
• Robert Korenberg MD PC

  • Dermatology Physician
  • Missoula, MT
  • NPI 1609053511
  NPD (past)

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1578863924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4488 HANALEI PLANTATION RD",
            "city": "PRINCEVILLE",
            "state": "HI",
            "postal_code": "967225462",
            "telephone_number": "808-320-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 HANALEI PLANTATION RD",
            "city": "PRINCEVILLE",
            "state": "HI",
            "postal_code": "967225462",
            "telephone_number": "808-320-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVA",
        "first_name": "CHEROKEE",
        "middle_name": "ROSE LEE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-1104",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578863924",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578863924",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Princeville Chiropractic, Inc.
• Princeville Dental, LLC
• Princeville Pharmacy and Health Emporium LLC
• Jana Aulani Redaus Purdy
• Rainbows Light LLC
• Teal Lani Sargent, LCSW
• Julia Streich
• The Makana North Shore Clinic
• Christine Walinch, L.AC.
• Stephanie Misaki Whiting, MS, LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.