SHO PARK FNP-BC
NPI 1225577661
Nurse Practitioner - Family in Kapolei, HI

Q: What is Sho Park's NPI number?

The NPI number for Sho Park is 1225577661. It was assigned to this individual provider in the NPPES registry on February 17, 2017.

Q: What is Sho Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sho Park was last updated on June 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 17, 2017PECOS EnrolledAccepts Medicare Assignment

599 FARRINGTON HWY STE 201, KAPOLEI, HI 96707(808) 691-7338 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2020, Jan 14, 2020, Apr 9, 2018 and 1 more (4 updates tracked since 2017).

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About Sho Park Fnp-bc NPPES

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

SHO PARK FNP-BC (NPI 1225577661) is an individual family provider in Kapolei, Hawaii, licensed in Hawaii (APRN-3493) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225577661

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHO PARKCredential: FNP-BC

Location Address599 FARRINGTON HWY STE 201Kapolei, HI 96707-2028

Mailing Address599 Farrington Hwy Ste 201Kapolei, HI 96707-2028 · (808) 691-7338

Phone(808) 691-7338

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 17, 2017

Last NPPES UpdateJune 21, 20224 updates tracked since enumeration

NPPES CertifiedJune 21, 2022

✔ NPI 1225577661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in HI · APRN-3493✔ Licensed in NJ · 26NJ00812200✔ Licensed in CA · 95013080

Also ListedRegistered NurseTaxonomy 163W00000X · License 22 714607 (NY)

599 FARRINGTON HWY STE 201, Kapolei, HI 96707

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

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

Sho Park Fnp-bc 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 ID8527314566

PECOS Enrollment IDI20220407002165

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

71 services50 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services33 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120001

Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96707 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.

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Other Providers at the Same Location NPPES 9

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

DR. DEBORAH ANN AGLES MD

Preventive Medicine (Occupational Medicine)