Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE DEREN MD
NPI 1023469095
Family Medicine in Pearl Harbor, HI

Q: What is Nicole Deren's NPI number?

The NPI number for Nicole Deren is 1023469095. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Q: What is Nicole Deren's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Deren was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2016PECOS Enrolled

480 CENTRAL AVE, PEARL HARBOR, HI 96860(808) 473-1880 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, Jul 22, 2026, Jul 8, 2019 and 2 more (5 updates tracked since 2016).

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About Nicole Deren Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE DEREN MD (NPI 1023469095) is an individual family medicine provider in Pearl Harbor, Hawaii, licensed in Virginia (0101262955) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tripler Army Medical Center.

NPPES Registry Identity

NPI1023469095

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNICOLE DERENCredential: MD

Location Address480 CENTRAL AVEPearl Harbor, HI 96860-4908

Mailing Address480 Central AvePearl Harbor, HI 96860-4908

Phone(808) 473-1880

Sole ProprietorNo

Enumeration DateJune 30, 2016

Last NPPES UpdateAugust 4, 20265 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1023469095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101262955

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

480 CENTRAL AVE, Pearl Harbor, HI 96860

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Secondary Practice Location 1

Location 11 Jarrett White RdTripler Army Medical Center, HI 96859-5001 · Phone (888) 683-2778

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Deren Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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