NPIMap

Individual provider Active NPI

Robin Evalena Caravallo, APN

  • Acute Care Nurse Practitioner
  • Aiea, HI
National Provider Identifier
1851413892
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
A02966 Issued in AR
Practice address
98-1005 Moanalua Rd SPC 4020
Aiea, HI 96701
Phone
(870) 941-9213
NPI assigned
Apr 3, 2007
Last updated
Sep 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X A02966 AR Primary

Addresses

Primary practice location

98-1005 Moanalua Rd SPC 4020
Aiea, HI 96701

Mailing address

98-1005 Moanalua Rd SPC 4020
Aiea, HI 96701-4734
Phone (870) 941-9213

Other practice location 1

4301 W Markham St
Slot 816
Little Rock, AR 72205-7101
Phone (501) 686-8230

Other identifiers 1

IdentifierTypeStateIssuer
5A336OtherARMEDICARE LEGACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140409001557 HI Practitioner - Nurse Practitioner 5092815084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pali Momi Medical CenterGroup PAC ID 6406746916, 90 clinicians

Practice addresses (Care Compare)

98 -1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (808) 486-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
67.55
Promoting interoperability
100
Improvement activities
40
Cost
78.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pali Momi Medical Center CurrentSince Jun 15, 2016 Accepting new patients
Straub Clinic & Hospital CurrentSince Dec 3, 2017 Accepting new patients
Straub Clinic & Hospital CurrentSince Dec 3, 2017 Accepting new patients
Pali Momi Medical Center CurrentSince Jun 15, 2016 Accepting new patients
University Clinical Education & Research Associates Past Accepting new patients
Straub Clinic & Hospital Past Accepting new patients

Locations

98-1005 Moanalua Rd
Spc 4020
Aiea, HI 96701
Phone (808) 485-3037

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

98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1851413892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 4020",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014734",
            "telephone_number": "870-941-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 4020",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "96701",
            "telephone_number": "870-941-9213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St",
            "address_2": "Slot 816",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARAVALLO",
        "first_name": "ROBIN",
        "middle_name": "EVALENA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A02966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "5A336",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.