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

Active since July 18, 2025PECOS EnrolledAccepts Medicare Assignment
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: August 16, 2026.

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 and is a graduate of Other (2024).

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
Medical School CMSOtherGraduated 2024
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 and accepts Medicare assignment

Carmelli Agdeppa 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 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.

Other Providers at the Same Location NPPES 9

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

ISLANDS HOSPICE, INC.
Hospice Care, Community Based
820 MILILANI ST STE 400
HONOLULU, HI 96813
Honolulu County (808) 550-2552
NYRA KEZIAH AMARO HEBRIO
Nurse Practitioner (Gerontology)
820 MILILANI ST STE 400
HONOLULU, HI 96813
Honolulu County (808) 210-8209
YOJANA THAPA TSUI NP
Nurse Practitioner
820 MILILANI ST STE 400
HONOLULU, HI 96813
Honolulu County (808) 550-2552
BARBARA OWENS RBT
Behavior Technician
820 MILILANI ST STE 400
HONOLULU, HI 96813
Honolulu County (808) 369-3024
MRS. IRIS HATSUE HASHIMOTO LCSW
Social Worker (Clinical)
820 MILILANI ST STE 400
HONOLULU, HI 96813
Honolulu County (808) 550-2552
KRISTINA SANTIAGO VILLA APRN, FNP-C
Nurse Practitioner (Family)
820 MILILANI ST STE 400
HONOLULU, HI 96813
Honolulu County (808) 550-2552
APRIL WUBBENS LCSW
Social Worker (Clinical)
820 MILILANI ST STE 400
HONOLULU, HI 96813
Honolulu County (808) 550-2552
MILESTONES
Clinic/Center (Multi-Specialty)
820 MILILANI ST STE 400
HONOLULU, HI 96813
Honolulu County (808) 979-6700

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 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.

Where is Carmelli Agdeppa located?

Carmelli Agdeppa practices at 820 Mililani St Ste 400, Honolulu, HI 96813. The listed phone number is (808) 550-2552.

What is Carmelli Agdeppa's specialty?

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

Is Carmelli Agdeppa enrolled in Medicare?

Yes. Carmelli Agdeppa 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.

When was this NPI record last updated?

The NPPES record for Carmelli Agdeppa was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.