Memphis Chardell Sandoval, PMHNP-BC - Medicare Nurse Practitioner in Honolulu, HI

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Memphis Chardell Sandoval, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Honolulu, Hawaii. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice My Mobile Md Psychiatric Services Llc, Odyssey Mental Health Care Llc and her current practice location is 200 N Vineyard Blvd Ste A325-439, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 646-3782.

Memphis Chardell Sandoval is licensed to practice in Hawaii (license number APRN-5396-0) 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 1720692494.

Contact Information

Memphis Chardell Sandoval, PMHNP-BC
200 N Vineyard Blvd Ste A325-439,
Honolulu, HI 96817-3950
(808) 646-3782
Not Available

Map and Direction




Provider's Profile

Full NameMemphis Chardell Sandoval
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location200 N Vineyard Blvd Ste A325-439, Honolulu, 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:
  • Memphis Chardell Sandoval graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1720692494
  • Provider Enumeration Date: 09/01/2020
  • Last Update Date: 01/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5799195657
  • Enrollment ID: I20230727001956

Medical Identifiers

Medical identifiers for Memphis Chardell Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720692494NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 71014109A (Indiana)Secondary
363L00000XNurse Practitioner 4704299093 (Michigan)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 863235 (Nevada)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN-5396-0 (Hawaii)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704299093 (Michigan)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
My Mobile Md Psychiatric Services Llc963856475011
Odyssey Mental Health Care Llc97395848973

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. Memphis Chardell Sandoval allows following entities to bill medicare on her behalf.
Entity NameMeridian Health Services Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992755490
PECOS PAC ID: 5597679845
Enrollment ID: O20031119000531
Entity NameOdyssey Mental Health Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104592617
PECOS PAC ID: 9739584897
Enrollment ID: O20210827000662
Entity NameMy Mobile Md Psychiatric Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528712452
PECOS PAC ID: 9638564750
Enrollment ID: O20220328000211
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220510002320
Entity NameAccentus Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295464147
PECOS PAC ID: 7012381155
Enrollment ID: O20230313001975

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. Memphis Chardell Sandoval 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
Memphis Chardell Sandoval, PMHNP-BC
200 N Vineyard Blvd Ste A325-439,
Honolulu, HI 96817-3950

Ph: (808) 646-3782		Memphis Chardell Sandoval, PMHNP-BC
200 N Vineyard Blvd Ste A325-439,
Honolulu, HI 96817-3950

Ph: (808) 646-3782

Reviews and Comments


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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).

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