ARDI HERMAWAN APRN
NPI 1891267753
Nurse Practitioner - Primary Care in Kaneohe, HI
About Ardi Hermawan Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARDI HERMAWAN APRN (NPI 1891267753) is an individual primary care provider in Kaneohe, Hawaii, licensed in Hawaii (APRN-3535) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, is affiliated with Adventist Health Castle, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Ardi Hermawan Aprn 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
3Medicare enrollment records show Ardi Hermawan reassigns Medicare billing to 3 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
- 664 clinicians in this Medicare group
West Chester, PA 19380
- Reassigned Medicare billing, Pennsylvania enrollment
- 983 clinicians in this Medicare group
Philadelphia, PA 19131
- Reassigned Medicare billing, Pennsylvania enrollment
- 58 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 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventist Health Castle
Acute Care Hospitals · Kailua, HIStraub Clinic And Hospital
Acute Care Hospitals · Honolulu, HIPali Momi Medical Center
Acute Care Hospitals · Aiea, HIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96744 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ardi Hermawan's NPI number?
The NPI number for Ardi Hermawan is 1891267753. It was assigned to this individual provider in the NPPES registry on December 17, 2018.
Where is Ardi Hermawan located?
Ardi Hermawan practices at 46-056 Kamehameha Hwy Ste 221, Kaneohe, HI 96744. The listed phone number is (808) 233-6200.
What is Ardi Hermawan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Ardi Hermawan enrolled in Medicare?
Yes. Ardi Hermawan 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 Ardi Hermawan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ardi Hermawan reassigns Medicare benefits to 3 organizations: Straub Clinic & Hospital (Honolulu, HI), Clinical Care Associates Of The University Of Pennsylvania Health (West Chester, PA) and Dedicated Pennsylvania Holding, LLC (Philadelphia, PA). 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 Ardi Hermawan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ardi Hermawan affiliated with any hospitals?
According to CMS data, Ardi Hermawan is affiliated with Adventist Health Castle, Straub Clinic And Hospital and Pali Momi Medical Center.
When was this NPI record last updated?
The NPPES record for Ardi Hermawan was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Ardi Hermawan, APRN · NPI 1891267753
Primary Care physician in Kaneohe, Hawaii. Individual provider, active in the CMS NPPES registry since December 17, 2018.
## Identity
- **NPI:** 1891267753 (Entity type: Individual)
- **Enumerated:** December 17, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** APRN-3535 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 46-056 KAMEHAMEHA HWY STE 221, Kaneohe, HI 96744-6706
- **Phone:** (808) 233-6200
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Straub Clinic & Hospital (NPI 1457306508, Honolulu, HI); Clinical Care Associates Of The University Of Pennsylvania Health (NPI 1396416251, West Chester, PA); Dedicated Pennsylvania Holding, LLC (NPI 1942703137, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1891267753) · Data from the CMS NPPES public registry.