Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Vandenraadt

Individual provider Nurse Practitioner · NPI 1134985294

Nicholas Vandenraadt is a Nurse Practitioner in Kamuela, Hawaii. Qualified in 2025, 1 year ago. Practices with Hawaii Emergency Physicians Associated Inc, a 115-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
1
Licensed in
HI
In the registry since
2024

Practice location Address checks out

67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496
Phone: (808) 881-4799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN-5440-0 (HI)

Record details

NPI number1134985294
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 26, 2024
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Hawaii Emergency Physicians Associated Inc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kamuela