Integrated Care LLC
NPI 1053036798ActiveOrganization· Nurse Practitioner, Family· Aiea, HI
Nurse Practitioner, Family in Aiea, Hawaii, registered in NPPES in October 2022. The authorized official on file is Thomas Andersen, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1053036798 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 5, 2022 |
| Last updated in NPPES | May 10, 2023 |
| Certified by provider | May 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (HI) |
|---|
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