DALLAS R ANDRADE
NPI 1679247480
Nurse Practitioner in Kailua Kona, HI
About Dallas R Andrade NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALLAS R ANDRADE (NPI 1679247480) is an individual nurse practitioner in Kailua Kona, Hawaii, licensed in Hawaii (3269) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Kau Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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
Dallas R Andrade 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
8Medicare enrollment records show Dallas Andrade reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pahala, HI 96777
- Reassigned Medicare billing, Hawaii enrollment
- 208 clinicians in this Medicare group
O Fallon, MO 63368
- Reassigned Medicare billing, Missouri enrollment
- 12 clinicians in this Medicare group
Ellisville, MO 63011
- Reassigned Medicare billing, Missouri enrollment
- 13 clinicians in this Medicare group
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 10 clinicians in this Medicare group
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Internal Medicine Of St Lukes LLC
- 17 clinicians in this Medicare group
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 7 clinicians in this Medicare group
Saint Louis, MO 63122
- Reassigned Medicare billing, Missouri enrollment
- 34 clinicians in this Medicare group
Saint Louis, MO 63124
- Reassigned Medicare billing, Missouri enrollment
- 6 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kau Hospital
Critical Access Hospitals · Pahala, HISt Lukes Hospital
Acute Care Hospitals · Chesterfield, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KAILUA KONA, HI 96740
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 Dallas Andrade's NPI number?
The NPI number for Dallas Andrade is 1679247480. It was assigned to this individual provider in the NPPES registry on August 4, 2021. The provider is also known as Dallas R Garbett.
Where is Dallas Andrade located?
Dallas Andrade practices at 75-184 Hualalai Rd Ste 202, Kailua Kona, HI 96740. The listed phone number is (808) 329-8251.
What is Dallas Andrade's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Dallas Andrade enrolled in Medicare?
Yes. Dallas Andrade 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 Dallas Andrade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dallas Andrade reassigns Medicare benefits to 8 organizations: Kau Hospital (Pahala, HI), Tri-County Family Practice, LLC (O Fallon, MO), Westglen Family Physicians, LLC (Ellisville, MO), Clinic Of Internal Medicine, LLC (Chesterfield, MO), Internal Medicine Of St. Luke's, LLC (Chesterfield, MO) and 3 more organizations, listed in the Medicare section above. 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 Dallas Andrade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dallas Andrade accept?
Health plans from HMSA, Medica, Oscar Insurance Company and UnitedHealthcare list Dallas Andrade 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 Dallas Andrade affiliated with any hospitals?
According to CMS data, Dallas Andrade is affiliated with Kau Hospital and St Lukes Hospital.
When was this NPI record last updated?
The NPPES record for Dallas Andrade was last updated on April 19, 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.
# Dallas R Andrade · NPI 1679247480
Nurse Practitioner physician in Kailua Kona, Hawaii. Individual provider, active in the CMS NPPES registry since August 4, 2021.
## Identity
- **NPI:** 1679247480 (Entity type: Individual)
- **Enumerated:** August 4, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 3269 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 75-184 HUALALAI RD STE 202, Kailua Kona, HI 96740-1719
- **Phone:** (808) 329-8251 · **Fax:** (808) 334-0130
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Kau Hospital (NPI 1982276127, Pahala, HI); Tri-County Family Practice, LLC (NPI 1285720169, O Fallon, MO); Westglen Family Physicians, LLC (NPI 1114957354, Ellisville, MO); Clinic Of Internal Medicine, LLC (NPI 1316053077, Chesterfield, MO); Internal Medicine Of St. Luke's, LLC (NPI 1316189194, Chesterfield, MO); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 19, 2024
- **Other identifiers:** Medicaid 001824 (HI)
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Source: [NPI Profile](https://npiprofile.com/npi/1679247480) · Data from the CMS NPPES public registry.