MEMPHIS CHARDELL SANDOVAL PMHNP-BC
NPI 1720692494
Nurse Practitioner - Psychiatric/Mental Health in Honolulu, HI

Q: 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.

Q: 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.

Q: 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 7 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 September 01, 2020PECOS EnrolledAccepts Medicare Assignment

200 N VINEYARD BLVD STE A325-439, HONOLULU, HI 96817(808) 646-3782 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 26, 2026, Oct 13, 2023, Aug 25, 2023 and 4 more (7 updates tracked since 2020).

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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

NPI1720692494

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMEMPHIS CHARDELL SANDOVALCredential: PMHNP-BC

Location Address200 N VINEYARD BLVD STE A325-439Honolulu, HI 96817-3950

Mailing Address200 N Vineyard Blvd Ste A325-439Honolulu, HI 96817-3950 · (808) 646-3782

Phone(808) 646-3782

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 1, 2020

Last NPPES UpdateJanuary 26, 20267 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2026

✔ NPI 1720692494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in HI · APRN-5396-0✔ Licensed in IN · 71014109A✔ Licensed in NV · 863235✔ Licensed in MI · 4704299093

Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704299093 (MI)

200 N VINEYARD BLVD STE A325-439, Honolulu, HI 96817

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, CareSource, HMSA and more.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

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.

PECOS PAC ID5799195657

PECOS Enrollment IDI20251005000290

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.

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

131 services47 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

35 services20 patients

Psychotherapy with evaluation and management visit, 45 minutes 90836

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

31 services17 patients

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.

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EARTHLY BALANCE MENTAL WELLNESS

Nurse Practitioner (Psychiatric/Mental Health)

200 N VINEYARD BLVD STE A325-439
HONOLULU, HI 96817

Honolulu County (808) 646-3782

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.

What insurance does Memphis Sandoval accept?

Health plans from Ambetter from Arizona Complete Health, CareSource, HMSA, McLaren Health Plan Community and Oscar Insurance Company and 2 other insurers 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 7 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.