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NICHOLAS VANDENRAADT
NPI 1134985294
Nurse Practitioner in Kamuela, HI

Active since February 26, 2024PECOS EnrolledAccepts Medicare Assignment
67-1125 MAMALAHOA HWY, KAMUELA, HI 96743(808) 881-4799 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Vandenraadt NPPES

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

NICHOLAS VANDENRAADT (NPI 1134985294) is an individual nurse practitioner in Kamuela, Hawaii, licensed in Hawaii (APRN-5440-0) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1134985294
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameNICHOLAS VANDENRAADT
Location Address67-1125 MAMALAHOA HWYKamuela, HI 96743-8496
Mailing Address64-5267 Hoohoa StKamuela, HI 96743-8225
Phone(808) 881-4799
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 26, 2024
Last NPPES UpdateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1134985294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in HI · APRN-5440-0
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
67-1125 MAMALAHOA HWY, Kamuela, HI 96743
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Vandenraadt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315432051
PECOS Enrollment IDI20251219003017
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 96743 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.

MRS. DANIELA NICOLE LAIRD PA-C
Physician Assistant
67-1125 MAMALAHOA HWY
KAMUELA, HI 96743
Hawaii County (808) 885-4444
NORTH HAWAII COMMUNITY HOSPITAL, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
67-1125 MAMALAHOA HWY
KAMUELA, HI 96743
Hawaii County (808) 881-4400
QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL
Obstetrics & Gynecology
67-1125 MAMALAHOA HWY
KAMUELA, HI 96743
Hawaii County (808) 885-9606
BRITTNEY H. SPIVAK D.O
Family Medicine
67-1125 MAMALAHOA HWY
KAMUELA, HI 96743
Hawaii County (808) 881-4730
QUEENS NORTH HAWAII COMMUNITY HOSPITAL
Home Health
67-1125 MAMALAHOA HWY
KAMUELA, HI 96743
Hawaii County (808) 881-4400
GARRETT KALEO CHIN LEE
Physician Assistant
67-1125 MAMALAHOA HWY
KAMUELA, HI 96743
Hawaii County (808) 885-4444
MEDSTREAM ANESTHESIA HAWAII, LLC
Anesthesiology
67-1125 MAMALAHOA HWY
KAMUELA, HI 96743
Hawaii County (828) 398-5244
MAKALA ELISE GARDNER MS, RD, LD
Dietitian, Registered
67-1125 MAMALAHOA HWY
KAMUELA, HI 96743
Hawaii County (808) 885-4444

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 Nicholas Vandenraadt's NPI number?

The NPI number for Nicholas Vandenraadt is 1134985294. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Nicholas Vandenraadt located?

Nicholas Vandenraadt practices at 67-1125 Mamalahoa Hwy, Kamuela, HI 96743. The listed phone number is (808) 881-4799.

What is Nicholas Vandenraadt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicholas Vandenraadt enrolled in Medicare?

Yes. Nicholas Vandenraadt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicholas Vandenraadt was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.