Carly Kaleo Correa, APRN-RX

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-2394 Issued in HI

Practice address

65-1298B Kawaihae Rd Ste 3
Kamuela, HI 96743-7342

Phone

(808) 731-5003

Fax

(808) 731-4330

NPI assigned

Feb 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kaleo Correa Other name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Waimea Primary Care, LLCGroup PAC ID 3173929114, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Hawaii Community Hospital, Inc Hospital, Kamuela, HI, CCN 120028
• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaleo@waimeaprimarycare.drchronodirect.com

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.

• Waimea Primary Care LLC

  • Primary Care Nurse Practitioner
  • Kamuela, HI
  • NPI 1417528399

  HI

  Medicare reassignment Care Compare group NPD Authorized official
• Duerler, Inc.

  • Family Medicine Physician
  • Kamuela, HI
  • NPI 1376837997

  HI

  Medicare reassignment NPD

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

• Queens North Hawaii Community Hospital

  • General Acute Care Hospital
  • Kamuela, HI
  • NPI 1477559029

  Hospital

  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992206973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1298B KAWAIHAE RD STE 3",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437342",
            "telephone_number": "808-731-5003",
            "fax_number": "808-731-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1298B KAWAIHAE RD STE 3",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437342",
            "telephone_number": "808-731-5003",
            "fax_number": "808-731-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "CARLY",
        "middle_name": "KALEO",
        "credential": "APRN-RX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2023-03-07",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14214954",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "APRN2394",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaleo@waimeaprimarycare.drchronodirect.com",
            "affiliation": "N",
            "endpointDescription": "DrChrono Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "65-1298B Kawaihae Rd Ste 3",
            "city": "Kamuela",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967437342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KALEO",
            "last_name": "CORREA",
            "credential": "APRN-RX",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clearview Counseling LLC
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• Sandra Ann Coffee, LMT
• Joseph David Coleman, DDS
• Kathleen A Commendador, NP
• Caroline Culverhouse, MSS, LCSW, E-RYT
• Michelle Darby
• David T. Doi, D.D.S., Inc
• Elizabeth Davis
• John M Dawson, M.D.

• All providers in Kamuela, HI
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.