CARMELLI AGDEPPA
NPI 1780576124
Nurse Practitioner - Family in Honolulu, HI

Q: What is Carmelli Agdeppa's NPI number?

The NPI number for Carmelli Agdeppa is 1780576124. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Q: What is Carmelli Agdeppa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carmelli Agdeppa was last updated on July 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 18, 2025PECOS Enrolled

820 MILILANI ST STE 400, HONOLULU, HI 96813(808) 550-2552 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Carmelli Agdeppa NPPES

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

CARMELLI AGDEPPA (NPI 1780576124) is an individual family provider in Honolulu, Hawaii, licensed in Hawaii (4977) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780576124

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARMELLI AGDEPPA

Location Address820 MILILANI ST STE 400Honolulu, HI 96813-2934

Mailing Address820 Mililani St Ste 400Honolulu, HI 96813-2934 · (808) 550-2552 · Fax (808) 550-2552

Phone(808) 550-2552

Sole ProprietorNo

Enumeration DateJuly 18, 2025

NPPES CertifiedJuly 18, 2025

✔ NPI 1780576124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in HI · 4977

820 MILILANI ST STE 400, Honolulu, HI 96813

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmelli Agdeppa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961991997

PECOS Enrollment IDI20251030001113

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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.