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

Nicole Yazdanpour, AGACNP-BC, RNFA, CNOR

Individual provider Registered Nurse First Assistant · NPI 1417669532

Nicole Yazdanpour, AGACNP-BC, RNFA, CNOR is a Nurse Practitioner in Aiea, Hawaii. Qualified in 2022, 4 years ago. Practices with Pali Momi Medical Center, a 90-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Hawaii.

Years since qualifying
4
Licensed in
HI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

99-115 Aiea Heights Dr Ste 276
Aiea, HI 96701-3967
Phone: (808) 784-3050
Show map & directions

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

Additional practice locations (1)

  • 98-1079 Moanalua Rd, Aiea, HI 96701-4713 — (808) 486-6000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN-3954 (HI)
Registered Nurse First Assistant Taxonomy 163WR0006X · Licence RN-71056 (HI)

Record details

NPI number1417669532
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC , RNFA , CNOR
Sole proprietorNo
NPI enumeratedDecember 20, 2022
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pali Momi Medical Center — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare