Adam Roller, APRN - Medicare Nurse Practitioner in Ewa Beach, HI

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Adam Roller, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ewa Beach, Hawaii. His current practice location is 91-1001 Kaimalie St Ste 201b, Ewa Beach, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 762-0026.

Adam Roller is licensed to practice in Hawaii (license number APRN-1711) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194143537.

Contact Information

Adam Roller, APRN
91-1001 Kaimalie St Ste 201b,
Ewa Beach, HI 96706-6250
(808) 762-0026
(808) 427-9397

Map and Direction




Provider's Profile

Full NameAdam Roller
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location91-1001 Kaimalie St Ste 201b, Ewa Beach, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194143537
  • Provider Enumeration Date: 04/02/2014
  • Last Update Date: 02/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951520709
  • Enrollment ID: I20140910000934

Medical Identifiers

Medical identifiers for Adam Roller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194143537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN-1711 (Hawaii)Primary
363LA2200XNurse Practitioner - Adult Health APRN-1711 (Hawaii)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Adam Roller allows following entities to bill medicare on his behalf.
Entity NameUs Med Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073816245
PECOS PAC ID: 6103093364
Enrollment ID: O20120111000901
Entity NameAdvanced Psychiatric Therapeutics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285920595
PECOS PAC ID: 0042478414
Enrollment ID: O20120215000407
Entity NameWest Oahu Mental Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083343024
PECOS PAC ID: 1951772227
Enrollment ID: O20230124002402

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adam Roller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Adam Roller, APRN
1245 Kuala St,
Pearl City, HI 96782-3900

Ph: (808) 456-2273		Adam Roller, APRN
91-1001 Kaimalie St Ste 201b,
Ewa Beach, HI 96706-6250

Ph: (808) 762-0026

Reviews and Comments


Nurse Practitioner Nurses in Ewa Beach, HI

April Leilani Solomon Ramos, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 91-216 Kaieleele Pl, Ewa Beach, HI 96706
Phone: 808-227-2081    
Mrs. Jacqueline Yvonne Chacon, ANP
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Practice Location: 91-896 Makule Rd, Suite 102, Ewa Beach, HI 96706
Phone: 808-689-4414    Fax: 808-689-7115
Carissa Manreal Bolo, NURSE PRACTITIONER
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Phone: 808-382-2276    
Dr. Shonacee Montero, APRN-RX
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Practice Location: 91-1082 Kapaahulani St, Ewa Beach, HI 96706
Phone: 808-563-0411    
Jennifer Souza, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 91-1360 Karayan St, Ewa Beach, HI 96706
Phone: 808-681-1200    Fax: 808-681-1238
Chad Matsui, FNP-C
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Practice Location: 91-3411 Kiki St, Ewa Beach, HI 96706
Phone: 808-345-9333    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.