MANDI SUE BREYMAN (PA) – Physician Assistant, NPI 1003150368

MANDI SUE BREYMAN (PA) is a healthcare provider. based in Kailua, Hawaii. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. AMD765 (HI). The NPI Number for MANDI SUE BREYMAN (PA) is 1003150368

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MANDI SUE BREYMAN (PA)
NPI
1003150368
Phone
(808) 523-1600
Address
414 ULUNIU ST
Enumeration Date
26 November 2012
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
8082618345
Graduation Year
2012 (14 years ago)
PAC ID
0941572374
Group Practice PAC ID
8921998808
Professional Enrollment ID
I20170821001209
Address ID
HI967342517KA414XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

356 PHYSICIAN ASSISTANT in HI

Provider Addresses for MANDI SUE BREYMAN (PA)

  • 414 ULUNIU ST

    KAILUA, HI 967342556

    Phone: (808) 523-1600

    Type: Mailing

  • 1329 LUSITANA ST STE 202

    HONOLULU, HI 968132401

    Phone:

    Type: Location

  • 98-211 Pali Momi St Ste 830

    Aiea, HI 967014369

    Phone: (808) 523-1600

    Fax: (808) 526-0221

    Type: Location

  • 414 Uluniu St

    Kailua, HI 967342556

    Phone:

    Type: Location

  • 1 Jarrett White Rd

    Tripler Army Medical Center, HI 968595001

    Phone: (808) 433-6661

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 63 Open Payments records for all available years, with a total value of $1,477.

Total Amount is formed as General ($1,477) + Research ($0) + Ownership ($0) = $1,477.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novo Nordisk Inc ($526).

Total Amount

$1,477

General + Research + Ownership

Payments

63

Total payment records

General Amount

$1,477

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170821001209IPhysician AssistantHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7951$0
99497Advance care planning, first 30 minutes3434$0
99213Established patient office or other outpatient visit, 20-29 minutes3329$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3333$0
99212Established patient office or other outpatient visit, 10-19 minutes2214$0
View full utilization report →

Insurance plans in this area (ZIP 96734)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921998808View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YHI
Internal MedicineHI
Allergy/Immunology, Family Practice, Pediatric MedicineHI
Internal MedicineCA
Physician AssistantMS
Physician AssistantVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MANDI SUE BREYMAN (PA)?
MANDI SUE BREYMAN (PA) — NPI 1003150368 — is the standard way to identify this listing.
Does the file indicate MANDI SUE BREYMAN (PA) is practicing under active NPI?
Directory data currently reports MANDI SUE BREYMAN (PA) as active.
What healthcare role does MANDI SUE BREYMAN (PA) hold?
Scheduling teams often label MANDI SUE BREYMAN (PA) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MANDI SUE BREYMAN (PA)?
MANDI SUE BREYMAN (PA)'s geographic hint is Kailua, Hawaii in our summary view.
Is the information about MANDI SUE BREYMAN (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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