ALYSHA DELPHINE ENBOM
NPI 1457100299
Nurse Practitioner - Family in Hanapepe, HI
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 maintains a secondary practice location in Spokane Valley.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Alysha Enbom reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waimea, HI 96796
- Reassigned Medicare billing, Hawaii enrollment
- 25 clinicians in this Medicare group
Lihue, HI 96766
- Reassigned Medicare billing, Hawaii enrollment
- 298 clinicians in this Medicare group
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- 664 clinicians in this Medicare group
Honolulu, HI 96826
- Reassigned Medicare billing, Hawaii enrollment
- 262 clinicians in this Medicare group
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.
Wilcox Memorial Hospital
Acute Care Hospitals · Lihue, HIPhysician 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.
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.
Which organizations bill Medicare for Alysha Enbom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alysha Enbom reassigns Medicare benefits to 4 organizations: Hoola Lahui Hawaii (Waimea, HI), Kauai Medical Clinic (Lihue, HI), Straub Clinic & Hospital (Honolulu, HI) and Kapiolani Medical Center For Women & Children (Honolulu, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alysha Enbom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Alysha Delphine Enbom · NPI 1457100299
Family physician in Hanapepe, Hawaii. Individual provider, active in the CMS NPPES registry since May 15, 2024.
## Identity
- **NPI:** 1457100299 (Entity type: Individual)
- **Enumerated:** May 15, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-4642 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** PO BOX 624, Hanapepe, HI 96716-0624
- **Phone:** (360) 301-5568
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Hoola Lahui Hawaii (NPI 1245269976, Waimea, HI); Kauai Medical Clinic (NPI 1376596643, Lihue, HI); Straub Clinic & Hospital (NPI 1457306508, Honolulu, HI); Kapiolani Medical Center For Women & Children (NPI 1548215692, Honolulu, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1457100299) · Data from the CMS NPPES public registry.