Markjason Tabudlo Cabudol, DNP, APRN, AGPCNP-BC
Individual provider Active NPI Gerontology Nurse Practitioner · Waianae, HI
NPI 1790592913 · NPPES record last updated Aug 8, 2025
Key facts
- NPI
- 1790592913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- APRN-5385 (HI)
- Practice address
- 86-260 Farrington Hwy
Waianae, HI 96792-3128 - Phone
- (808) 697-3300
- NPI assigned
- Dec 11, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Waianae District Comprehensive Health and Hospital Board Incorporated
Practice addresses (Care Compare)
599 Farrington Hwy
Unit 100
Kapolei, HI 96707-2028
Phone (808) 697-3800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250915000400 | HI | Practitioner - Nurse Practitioner | 2668975699 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61347958 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Current |
Accepting new patients | |
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Current |
Accepting new patients | |
| Waianae District Comprehensive Health and Hospital Board, Inc | Current | Accepting new patients |
Locations
599 Farrington Hwy
Bldg 1
Kapolei, HI 96707
599 Farrington Hwy
Ste 100
Kapolei, HI 96707
Phone (808) 674-2930
86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081
86-120 Farrington Hwy
Ste C305A
Waianae, HI 96792
Phone (808) 697-3133
Interoperability endpoints
- markjason.cabudol.p1@direct.wcchc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-125296 | HI | |
| Registered Nurse | 163W00000X | RN61347958 | WA | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN-5385 | HI | Yes |
Addresses
Primary practice location
86-260 Farrington Hwy
Waianae, HI 96792-3128
Mailing address
86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300
Other providers in Waianae, HI
- Kyra Brown
- Harry Burgess Jr.
- Quincie K. Burgess
- Marcin Bury
- Elizabeth Cabrera
- Vivian Saschet Calderon-Guzman Tobby
- Kevin M Calleon
- Fredrene Caminos
- Caregivers of Hawaii
- Caring Options LLC
All providers in Waianae, HI · Gerontology Nurse Practitioner in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.