Alysha Delphine Enbom, - Medicare Nurse Practitioner in Hanapepe, HI

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Alysha Delphine Enbom, is a medicare enrolled "Nurse Practitioner - Family" in Hanapepe, Hawaii. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kauai Medical Clinic and her current practice location is Po Box 624, Hanapepe, Hawaii. You can reach out to her office (for appointments etc.) via phone at (360) 301-5568.

Alysha Delphine Enbom is licensed to practice in Hawaii (license number APRN-4642) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457100299.

Contact Information

Alysha Delphine Enbom,
Po Box 624,
Hanapepe, HI 96716-0624
(360) 301-5568
Not Available

Map and Direction




Provider's Profile

Full NameAlysha Delphine Enbom
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
LocationPo Box 624, Hanapepe, Hawaii
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alysha Delphine Enbom graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1457100299
  • Provider Enumeration Date: 05/15/2024
  • Last Update Date: 06/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9436698594
  • Enrollment ID: I20240903003490

Medical Identifiers

Medical identifiers for Alysha Delphine Enbom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457100299NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 55667 (Idaho)Secondary
163W00000XRegistered Nurse RN61092439 (Washington)Secondary
163W00000XRegistered Nurse 103027 (Hawaii)Secondary
363LF0000XNurse Practitioner - Family APRN-4642 (Hawaii)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wilcox Memorial HospitalLihue, HIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kauai Medical Clinic5092628479131

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. Alysha Delphine Enbom allows following entities to bill medicare on her behalf.
Entity NameStraub Clinic & Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457306508
PECOS PAC ID: 6305759754
Enrollment ID: O20031111000417
Entity NameKauai Medical Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376596643
PECOS PAC ID: 5092628479
Enrollment ID: O20031111000540
Entity NameHoola Lahui Hawaii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245269976
PECOS PAC ID: 2860303021
Enrollment ID: O20031226000260
Entity NameKapiolani Medical Center For Women & Children
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548215692
PECOS PAC ID: 9830097914
Enrollment ID: O20031229000149

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. Alysha Delphine Enbom 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
Alysha Delphine Enbom,
Po Box 624,
Hanapepe, HI 96716-0624

Ph: (360) 301-5568		Alysha Delphine Enbom,
Po Box 624,
Hanapepe, HI 96716-0624

Ph: (360) 301-5568

Reviews and Comments


Nurse Practitioner Nurses in Hanapepe, HI


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.