SHANDA BRACK APRN
NPI 1316024102
Nurse Practitioner - Family in Waianae, HI

Q: What is Shanda Brack's NPI number?

The NPI number for Shanda Brack is 1316024102. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Shanda Magee.

Q: What is Shanda Brack'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 Shanda Brack was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment

86-260 FARRINGTON HWY, WAIANAE, HI 96792(808) 697-3800 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2025, Sep 16, 2016 (2 updates tracked since 2016).

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About Shanda Brack Aprn NPPES

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

SHANDA BRACK APRN (NPI 1316024102) is an individual family provider in Waianae, Hawaii, licensed in Hawaii (APRN 2164) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316024102

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANDA BRACKCredential: APRN

Location Address86-260 FARRINGTON HWYWaianae, HI 96792-3128

Mailing Address86-260 Farrington HwyWaianae, HI 96792-3128 · (808) 697-3800

Phone(808) 697-3800

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 1, 2006

Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration

NPPES CertifiedMarch 5, 2025

✔ NPI 1316024102 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

License✔ Licensed in HI · APRN 2164

86-260 FARRINGTON HWY, Waianae, HI 96792

Open in Google Maps ↗

Other Names 1

Former Name (1)Shanda Magee

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shanda Brack Aprn 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 ID6507144474

PECOS Enrollment IDI20161027000796

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.

Medicare Billing Reassignment

Medicare enrollment records show Shanda Brack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Waianae District Comprehensive Health And Hospital Board, Inc

Same address

Clinical Medical Laboratory

86-260 FARRINGTON HWY
Waianae, HI 96792

Reassigned Medicare billing, Hawaii enrollment
Medicare enrollment name: Waianae District Comprehensive Health And Hospital Board Incorporated
240 clinicians in this Medicare group

NPI 1083749279 (808) 697-3300

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

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 96792 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.

MS. HEATHER SALVADOR APRN

Nurse Practitioner (Family)