MEMPHIS CHARDELL SANDOVAL PMHNP-BC
NPI 1720692494
Nurse Practitioner - Psychiatric/Mental Health in Honolulu, HI
About Memphis Chardell Sandoval Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMPHIS CHARDELL SANDOVAL PMHNP-BC (NPI 1720692494) is an individual psychiatric/mental health provider in Honolulu, Hawaii, licensed in Hawaii (APRN-5396-0) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Memphis Chardell Sandoval Pmhnp-bc 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
11Medicare enrollment records show Memphis Sandoval reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- 15 clinicians in this Medicare group
Hilo, HI 96720
- Reassigned Medicare billing, Hawaii enrollment
- 17 clinicians in this Medicare group
Henderson, NV 89012
- Reassigned Medicare billing, Nevada enrollment
- 52 clinicians in this Medicare group
Frankfort, IN 46041
- Reassigned Medicare billing, Indiana enrollment
- 322 clinicians in this Medicare group
Carmel, IN 46032
- Reassigned Medicare billing, Indiana enrollment
- 9 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 29 clinicians in this Medicare group
Indianapolis, IN 46237
- Reassigned Medicare billing, Indiana enrollment
- 11 clinicians in this Medicare group
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- 15 clinicians in this Medicare group
Brighton, MI 48114
- Reassigned Medicare billing, Michigan enrollment
- 451 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Hawaii and Indiana enrollments
- 72 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 3
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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HONOLULU, HI 96817
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 Memphis Sandoval's NPI number?
The NPI number for Memphis Sandoval is 1720692494. It was assigned to this individual provider in the NPPES registry on September 1, 2020.
Where is Memphis Sandoval located?
Memphis Sandoval practices at 200 N Vineyard Blvd Ste A325-439, Honolulu, HI 96817. The listed phone number is (808) 646-3782.
What is Memphis Sandoval's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Memphis Sandoval enrolled in Medicare?
Yes. Memphis Sandoval 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 Memphis Sandoval's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Memphis Sandoval reassigns Medicare benefits to 11 organizations: (Honolulu, HI), George Mackel, Pmhnp-Bc, LLC (Hilo, HI), Oasis Counseling LLC (Henderson, NV), Meridian Health Services Corp. (Frankfort, IN), Odyssey Mental Health Care LLC (Carmel, IN) and 6 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 Memphis Sandoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Memphis Sandoval accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource and 1 other insurer list Memphis Sandoval 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.
When was this NPI record last updated?
The NPPES record for Memphis Sandoval was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Memphis Chardell Sandoval, PMHNP-BC · NPI 1720692494
Psychiatric/Mental Health physician in Honolulu, Hawaii. Individual provider, active in the CMS NPPES registry since September 1, 2020.
## Identity
- **NPI:** 1720692494 (Entity type: Individual)
- **Enumerated:** September 1, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN-5396-0 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 N VINEYARD BLVD STE A325-439, Honolulu, HI 96817-3950
- **Phone:** (808) 646-3782
## 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:** 11 organizations under Medicare reassignment (form CMS-855R): (NPI 1891082376, Honolulu, HI); George Mackel, Pmhnp-Bc, LLC (NPI 1184583585, Hilo, HI); Oasis Counseling LLC (NPI 1336400951, Henderson, NV); Meridian Health Services Corp. (NPI 1629773627, Frankfort, IN); Odyssey Mental Health Care LLC (NPI 1104592617, Carmel, IN); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1720692494) · Data from the CMS NPPES public registry.