Adriann Bruce, MD
Individual provider Active NPI Family Medicine Physician · Kapaia, HI
NPI 1831578764 · NPPES record last updated Nov 2, 2022
Key facts
- NPI
- 1831578764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD-19731 (HI)
- Practice address
- 4800 Suite D Kawaihau Road
Kapaia, HI 96746 - Phone
- (808) 240-0170
- Fax
- (808) 822-9298
- NPI assigned
- May 26, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hoola Lahui Hawaii
Practice addresses (Care Compare)
4643 Waimea Canyon Dr
Waimea, HI 96796
Phone (808) 338-1855
PO Box
Suite 487
Waimea, HI 96796
Hospital & facility affiliations
- Wilcox Memorial Hospital
- Samuel Mahelona Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.96 of 100
- Quality
- 47.2
- Promoting interoperability
- 100
- Improvement activities
- 40
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180905002248 | HI | Practitioner - Family Practice | 0547510919 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-19731 | HI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoola Lahui Hawaii | Current |
Accepting new patients | |
| Hoola Lahui Hawaii | Current |
Accepting new patients |
Locations
4800 Kawaihau Rd
Ste D
Kapaa, HI 96746
Phone (808) 240-0170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-19731 | HI | Yes |
Addresses
Primary practice location
4800 Suite D Kawaihau Road
Kapaia, HI 96746
Mailing address
4800 D Kawaihau Road
Kapaia, HI 96746
Phone (808) 240-0170
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2022. 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.