INTEGRATED CARE LLC
NPI 1053036798
Nurse Practitioner - Family in Aiea, HI

Active since October 05, 2022
98-871 KAONOHI ST UNIT 57D, AIEA, HI 96701(808) 738-7671 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2023, Oct 5, 2022 (2 updates tracked since 2022).

About Integrated Care Llc NPPES

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

INTEGRATED CARE LLC (NPI 1053036798) is a healthcare organization registered as a family in Aiea, Hawaii and active in the NPI registry since October 2022. The organization lists Thomas Andersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1053036798
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINTEGRATED CARE LLC
Location Address98-871 KAONOHI ST UNIT 57DAiea, HI 96701-2458
Mailing Address98-871 Kaonohi St Unit 57dAiea, HI 96701-2458
Organization SubpartNo
Authorized OfficialThomas AndersenOwner · (808) 738-7671
Enumeration DateOctober 5, 2022
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1053036798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
98-871 KAONOHI ST UNIT 57D, Aiea, HI 96701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Integrated Care LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Mental Health Counselor
NPI 1437928496
2159 KOMO MAI DR
Pearl City, HI 96782
(808) 728-8211
✔ PECOS2.7 mi
Nurse Practitioner
NPI 1881570943
391 LEWAHANA LOOP
Honolulu, HI 96818
(850) 382-4620
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1942811997
5922B GANNET AVE
Ewa Beach, HI 96706
(808) 746-9247
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1023882081
91-1030 HOKUA PL
Ewa Beach, HI 96706
(808) 382-2276
✔ PECOS✔ Accepts Medicare8.4 mi
Nurse Practitioner
NPI 1992561872
42-477 KALANIANAOLE HWY
Kailua, HI 96734
(808) 266-9696
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Care LLC's NPI number?

The NPI number for Integrated Care LLC is 1053036798. It was assigned to this organization in the NPPES registry on October 5, 2022.

Where is Integrated Care LLC located?

Integrated Care LLC is located at 98-871 Kaonohi St Unit 57D, Aiea, HI 96701. The listed phone number is (808) 738-7671.

What is Integrated Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Integrated Care LLC enrolled in Medicare?

Yes. Integrated Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Integrated Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Mental Health Counselor (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Integrated Care LLC accept?

Health plans from HMSA list Integrated Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integrated Care LLC was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.