Individual provider Active NPI

Cheryl Pedrozo Pavel, APRN FNP BC

  • Family Nurse Practitioner
  • Kea'au, HI
National Provider Identifier
1831722107
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2308 Issued in HI
Practice address
16-590 Old Volcano Rd Ste a
Keaau, HI 96749-8158
Phone
(808) 430-9790
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2308 HI Primary

Addresses

Primary practice location

16-590 Old Volcano Rd Ste a
Keaau, HI 96749-8158

Mailing address

16-590 Old Volcano Rd Ste a
Keaau, HI 96749-8158
Phone (808) 430-9790

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
I20230911001742 HI Practitioner - Nurse Practitioner 8921462987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospice of HiloGroup PAC ID 6709034994, 3 clinicians

Practice addresses (Care Compare)

1011 Waianuenue Ave
Hilo, HI 96720-2019

590 Kapiolani St
Hilo, HI 96720-3926
Phone (808) 969-1733

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2308HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Hilo Family CurrentSince Aug 14, 2023 Accepting new patients
Hospice of Hilo Past Accepting new patients

Locations

590 Kapiolani St
Hilo, HI 96720
Phone (808) 969-1733

1011 Waianuenue Ave
Hilo, HI 96720
Phone (808) 969-1733

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1831722107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16-590 OLD VOLCANO RD STE A",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967498158",
            "telephone_number": "808-430-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-590 OLD VOLCANO RD STE A",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967498158",
            "telephone_number": "808-430-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVEL",
        "first_name": "CHERYL",
        "middle_name": "PEDROZO",
        "name_prefix": "Dr.",
        "credential": "APRN FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kea'au, HI

Sources for this page

Verify at the official NPI Registry.