ADAM ROLLER (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1194143537
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
887 NURSE PRACTITIONER in HI
Provider Addresses for ADAM ROLLER (APRN)
1245 KUALA ST
PEARL CITY, HI 967823900
Phone: (808) 456-2273
Fax: (808) 456-2274
Type: Location
91-1001 KAIMALIE ST STE 201B
EWA BEACH, HI 967066250
Phone: (808) 762-0026
Fax: (808) 427-9397
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $458.
Total Amount is formed as General ($458) + Research ($0) + Ownership ($0) = $458.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($268).
Total Amount
$458
General + Research + Ownership
Payments
11
Total payment records
General Amount
$458
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $268 |
| Teva Pharmaceuticals USA, Inc. | $140 |
| E.R. Squibb & Sons, L.L.C. | $27 |
| Lundbeck LLC | $23 |
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: 2014-09-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140910000934 | I | Nurse Practitioner | HI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 15 | $0 |
Insurance plans in this area (ZIP 96782)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | HI |
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