JODI OLDFATHER, CRNA LLC
NPI 1063307080
Clinic/Center - Ambulatory Surgical in Hilo, HI
About Jodi Oldfather, Crna Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODI OLDFATHER, CRNA LLC (NPI 1063307080) is a healthcare organization registered as an ambulatory surgical in Hilo, Hawaii and active in the NPI registry since June 2025. The organization lists Jodi Oldfather, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jodi Oldfather, Crna Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jodi Oldfather, Crna LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Jodi Oldfather, Crna LLC's NPI number?
The NPI number for Jodi Oldfather, Crna LLC is 1063307080. It was assigned to this organization in the NPPES registry on June 10, 2025.
Where is Jodi Oldfather, Crna LLC located?
Jodi Oldfather, Crna LLC is located at 82 Puuhonu Pl Ste 100, Hilo, HI 96720. The listed phone number is (808) 969-9669.
What is Jodi Oldfather, Crna LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Jodi Oldfather, Crna LLC enrolled in Medicare?
Yes. Jodi Oldfather, Crna LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jodi Oldfather, Crna LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jodi Oldfather, Crna 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jodi Oldfather, Crna LLC was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Jodi Oldfather, Crna Llc · NPI 1063307080
Ambulatory Surgical organization in Hilo, Hawaii. Organization record, active in the CMS NPPES registry since June 10, 2025.
## Identity
- **NPI:** 1063307080 (Entity type: Organization)
- **Enumerated:** June 10, 2025
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Jodi Oldfather, OWNER
## Practice location
- **Address:** 82 PUUHONU PL STE 100, Hilo, HI 96720-2010
- **Phone:** (808) 969-9669
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063307080) · Data from the CMS NPPES public registry.