Individual provider Active NPI

Andrew Jackson Wyers, MD

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Wailuku, HI
National Provider Identifier
1871156950
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
License
23465 Issued in HI
Practice address
400 Mahalani St
Wailuku, HI 96793-2547
Phone
(808) 244-5555
NPI assigned
Apr 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23465 HI
Emergency Medicine Physician 207P00000X T7396 TX
Emergency Medicine Physician 207P00000X R77396 AZ
Hospice and Palliative Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PH0002X 23465 HI Primary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X T7396 TX

Addresses

Primary practice location

400 Mahalani St
Wailuku, HI 96793-2547

Mailing address

400 Mahalani St
Wailuku, HI 96793-2547
Phone (808) 244-5555

Other practice location 1

221 Mahalani St
Wailuku, HI 96793-2526

Other practice location 2

100 Keokea Pl
Kula, HI 96790-7450
Phone (808) 878-1221

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awyers1064376@direct.sw.org Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109002429 HI Practitioner - Hospice/Palliative Care 3870828288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Texas Tech University Health Science Center School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice Maui, Inc.Group PAC ID 2264518992, 3 clinicians

Practice addresses (Care Compare)

400 Mahalani St
Wailuku, HI 96793-2547
Phone (808) 244-5555

Hospital & facility affiliations

  • Maui Memorial Medical Center Hospital, Wailuku, HI, CCN 120002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Maui Inc. Multi-Specialty CurrentSince Nov 27, 2023 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC Multi-Specialty CurrentSince Sep 16, 2024 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC Multi-Specialty Current Accepting new patients
Hospice Maui, Inc PastSince Aug 13, 2023 Accepting new patients

Locations

100 Keokea Pl
Kula, HI 96790
Phone (808) 875-6690

400 Mahalani St
Wailuku, HI 96793
Phone (800) 244-5555

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

Interoperability endpoints

  • Direct secure messaging: awyers1064376@direct.sw.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1871156950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932547",
            "telephone_number": "808-244-5555",
            "fax_number": "808-244-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932547",
            "telephone_number": "808-244-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Mahalani St",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932526",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Keokea Pl",
            "address_purpose": "LOCATION",
            "city": "Kula",
            "state": "HI",
            "postal_code": "967907450",
            "country_code": "US",
            "telephone_number": "808-878-1221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYERS",
        "first_name": "ANDREW",
        "middle_name": "JACKSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "23465",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T7396",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "R77396",
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "HI",
            "license": "23465",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "T7396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awyers1064376@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "700 Scott and White Dr",
            "city": "College Station",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.