Individual provider Active NPI

Christopher Scott Acree, PA

  • Physician Assistant
  • Honolulu, HI
National Provider Identifier
1629013032
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
367 Issued in HI
Practice address
677 Ala Moana Blvd SPC 950
Honolulu, HI 96813-5408
Phone
(808) 535-5555
Fax
(808) 535-5556
NPI assigned
Jun 19, 2006
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 367 HI Primary
Physician Assistant 363A00000X 581 SC

Addresses

Primary practice location

677 Ala Moana Blvd SPC 950
Honolulu, HI 96813-5408

Mailing address

677 Ala Moana Blvd SPC 950
Honolulu, HI 96813-5408
Phone (808) 535-5555

Other identifiers 2

IdentifierTypeStateIssuer
830769190OtherHITAX ID
570521956OtherSCEMPLOYEE ID#

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
I20100104000463 HI Practitioner - Physician Assistant 5597711069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Workstar Occupational Health Systems IncGroup PAC ID 8729978176, 15 clinicians

Practice addresses (Care Compare)

500 Ala Moana Blvd
Suite 6D
Honolulu, HI 96813-4984
Phone (808) 676-5331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

LicenseStateTypeSpecialty
367HIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Integrative Healthcare LLC CurrentSince Mar 28, 2019 Accepting new patients
Doctors Care, PA Past Accepting new patients

Locations

1150 S King St
Ste 302
Honolulu, HI 96814
Phone (808) 389-1027

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1629013032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD SPC 950",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135408",
            "telephone_number": "808-535-5555",
            "fax_number": "912-435-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD SPC 950",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135408",
            "telephone_number": "808-535-5555",
            "fax_number": "808-535-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACREE",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "367",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "830769190",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE ID#",
            "identifier": "570521956",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.