ALYSHA DELPHINE ENBOM
NPI 1457100299
Nurse Practitioner - Family in Hanapepe, HI

Active since May 15, 2024PECOS EnrolledAccepts Medicare Assignment
PO BOX 624, HANAPEPE, HI 96716(360) 301-5568 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2024, May 15, 2024 (2 updates tracked since 2024).

About Alysha Delphine Enbom NPPES

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

ALYSHA DELPHINE ENBOM (NPI 1457100299) is an individual family provider in Hanapepe, Hawaii, licensed in Hawaii (APRN-4642) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457100299
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALYSHA DELPHINE ENBOM
Location AddressPO BOX 624Hanapepe, HI 96716-0624
Mailing AddressPo Box 624Hanapepe, HI 96716-0624 · (360) 301-5568
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 15, 2024
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
NPI 1457100299 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
License Licensed in HI · APRN-4642
Also ListedRegistered NurseTaxonomy 163W00000X · License 55667 (ID), RN61092439 (WA), 103027 (HI)
PO BOX 624, Hanapepe, HI 96716

Other Names 1

Former Name (1)Alysha Delphine Hartshorn

Accepted 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

Alysha Delphine Enbom 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 ID9436698594
PECOS Enrollment IDI20240903003490
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.

Hospital Affiliations CMS Care Compare

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

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96716 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.

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 Alysha Enbom's NPI number?

The NPI number for Alysha Enbom is 1457100299. It was assigned to this individual provider in the NPPES registry on May 15, 2024. The provider is also known as Alysha Delphine Hartshorn.

Where is Alysha Enbom located?

Alysha Enbom practices at PO Box 624, Hanapepe, HI 96716. The listed phone number is (360) 301-5568.

What is Alysha Enbom's specialty?

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

Is Alysha Enbom enrolled in Medicare?

Yes. Alysha Enbom 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.

What insurance does Alysha Enbom accept?

Health plans from HMSA list Alysha Enbom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alysha Enbom affiliated with any hospitals?

According to CMS data, Alysha Enbom is affiliated with Wilcox Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Alysha Enbom was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.