Angela Odoerfer

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3666 Issued in HI

Practice address

970 N Kalaheo Ave Ste C108
Kailua, HI 96734-1871

Phone

(810) 404-0335

NPI assigned

Feb 8, 2021

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

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hawaii Dermatology Centers IncGroup PAC ID 3274782586, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

61.06 of 100Reported as group

Quality

83.75

Promoting interoperability

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amodoerfer@hawaiiderm.emadirect.md

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.

• Hawaii Dermatology Centers, Inc

  • Specialist
  • Kailua, HI
  • NPI 1215298864
  Medicare reassignment Care Compare group NPD
• G. Todd Bessinger, MD, PHD, LLC

  • Dermatology Physician
  • Honolulu, HI
  • NPI 1851593420
  NPD (past)

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1659963916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE C108",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE C108",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341871",
            "telephone_number": "810-404-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOERFER",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704319074",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "3666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oahu Primary Care PLLC
• Trinity Oakland
• Oasis for Change
• Alyssa Obata
• Erika Obiegbu
• Ohana Medical Group LLC
• Ohana Medical Supply Company LLC
• Ohana Pacific Rehabilitation Services, LLC
• Ohana Smiles LLC
• Martin K. Oishi, D.D.S.

• Family Nurse Practitioner in Kailua, HI
• Providers in Kailua, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.