Individual provider Active NPI

Elmer Amparo, NP

  • Family Nurse Practitioner
  • Tripler Army Medical Center, HI
National Provider Identifier
1912499708
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R171946 Issued in MD
Practice address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone
(888) 683-2778
NPI assigned
Jun 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R171946 MD Primary
Family Nurse Practitioner 363LF0000X 0024181195 VA
Family Nurse Practitioner 363LF0000X 343701 NY
Family Nurse Practitioner 363LF0000X RN1006294 DC

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001

Mailing address

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (888) 683-2778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20200921000435 DC Practitioner - Nurse Practitioner 0143570689 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1006294DCMDFamily Nurse Practitioner
R171946MDMDFamily Nurse Practitioner
343701NYMDFamily Nurse Practitioner
0024181195VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Services Inc Nurse Practitioner CurrentSince Sep 15, 2020 Accepting new patients
Primecare Medicine PA CurrentSince Aug 1, 2024 Accepting new patients
Providence Health Services, Inc CurrentSince Sep 15, 2020 Accepting new patients

Locations

1160 Varnum St NE
Washington, DC 20017
Phone (202) 525-1448

1160 Varnum St NE
Ste 312
Washington, DC 20017
Phone (202) 526-7031

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

1160 Varnum St NE
Ste 317
Washington, DC 20017
Phone (202) 529-1961

1160 Varnum St NE
#3
Washington, DC 20017
Phone (202) 854-4900

1160 Varnum St NE
Ste 201
Washington, DC 20017

1160 Varnum St NE
Ste 110
Washington, DC 20017
Phone (202) 854-4080

10750 Columbia Pike
Ste 320
Silver Spring, MD 20901
Phone (301) 593-9800

Organizations & group practices 3

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1912499708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "888-683-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "888-683-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMPARO",
        "first_name": "ELMER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R171946",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181195",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343701",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1006294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tripler Army Medical Center, HI

Sources for this page

Verify at the official NPI Registry.