Individual provider Active NPI

Bailee Vernon McCarley, FNP

  • Occupational Health Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1770051708
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
22050 Issued in SC
Practice address
4211 Waialae Ave # 9220
Honolulu, HI 96816-5319
Phone
(808) 732-0782
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3556 HI
Occupational Health Nurse Practitioner 363LX0106X 22050 SC Primary

Addresses

Primary practice location

4211 Waialae Ave # 9220
Honolulu, HI 96816-5319

Mailing address

92-553 Akaawa St
Kapolei, HI 96707-1028
Phone (864) 933-7895

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
I20250701003505 HI Practitioner - Nurse Practitioner 8224541370 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3556HIMDNurse Practitioner
22050SCMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Clinical Education & Research Associates CurrentSince Jun 2, 2025 Accepting new patients
University Clinical Education & Research Associates CurrentSince Jun 2, 2025 Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

677 Ala Moana Blvd
Ste 1001
Honolulu, HI 96813

Organizations & group practices 2

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": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1770051708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-553 AKAAWA ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071028",
            "telephone_number": "864-933-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE # 9220",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165319",
            "telephone_number": "808-732-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARLEY",
        "first_name": "BAILEE",
        "middle_name": "VERNON",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "3556",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "SC",
            "license": "22050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.