BOTOX KAILUA LLC
NPI 1841170123
Nurse Practitioner - Family in Kailua, HI
About Botox Kailua Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOTOX KAILUA LLC (NPI 1841170123) is a healthcare organization registered as a family in Kailua, Hawaii and active in the NPI registry since September 2025. The organization lists Brianna Sortland, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Botox Kailua Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Botox Kailua LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Botox Kailua LLC's NPI number?
The NPI number for Botox Kailua LLC is 1841170123. It was assigned to this organization in the NPPES registry on September 5, 2025.
Where is Botox Kailua LLC located?
Botox Kailua LLC is located at 1005 Keolu Dr, Kailua, HI 96734. The listed phone number is (808) 272-0444.
What is Botox Kailua LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Botox Kailua LLC enrolled in Medicare?
Yes. Botox Kailua LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Botox Kailua LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Botox Kailua LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Botox Kailua LLC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Botox Kailua Llc · NPI 1841170123
Family organization in Kailua, Hawaii. Organization record, active in the CMS NPPES registry since September 5, 2025.
## Identity
- **NPI:** 1841170123 (Entity type: Organization)
- **Enumerated:** September 5, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Brianna Sortland, OWNER
## Practice location
- **Address:** 1005 KEOLU DR, Kailua, HI 96734-3873
- **Phone:** (808) 272-0444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 5, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1841170123) · Data from the CMS NPPES public registry.