ALEXIS MARIE FODRAN
NPI 1245814383
Nurse Practitioner - Family in Honolulu, HI

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since May 05, 2021PECOS Enrolled

680 IWILEI RD STE 660, HONOLULU, HI 96817(808) 924-9255 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 23, 2026, Sep 18, 2025, Mar 7, 2025 and 1 more (4 updates tracked since 2021).

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About Alexis Marie Fodran NPPES

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

ALEXIS MARIE FODRAN (NPI 1245814383) is an individual family provider in Honolulu, Hawaii, licensed in Hawaii (3502) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245814383

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALEXIS MARIE FODRAN

Location Address680 IWILEI RD STE 660Honolulu, HI 96817-5392

Mailing Address680 Iwilei Rd Ste 660Honolulu, HI 96817-5392 · (808) 924-9255 · Fax (828) 791-8049

Phone(808) 924-9255

Sole ProprietorNo

Enumeration DateMay 5, 2021

Last NPPES UpdateMarch 23, 20264 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1245814383 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 · 3502✔ Licensed in CA · 95013279

Also ListedNurse PractitionerTaxonomy 363L00000X · License 3502 (HI)

680 IWILEI RD STE 660, Honolulu, HI 96817

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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 (PECOS)

Alexis Marie Fodran 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 96817 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.