Leiah Hoffman

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4243 Timberridge LN Apt a
Hermantown, MN 55811-4047

Phone

(320) 321-3788

NPI assigned

Nov 6, 2020

Last updated

Nov 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Leiah Smolley Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera Granite FallsGroup PAC ID 1456784560, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera at Home Marshall Home health agency, Marshall, MN, CCN 248144
• Avera Granite Falls Hospital, Granite Falls, MN, CCN 241343
• Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avera Granite Falls

  dba Avera Medical Group Granite Falls

  • Family Medicine Physician
  • Granite Falls, MN
  • NPI 1700429644

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Granite Falls Municipal Hospital and Manor

  • Critical Access Hospital
  • Granite Falls, MN
  • NPI 1780654962
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avera Granite Falls

  dba Avera Granite Falls Health Center

  • Critical Access Hospital
  • Granite Falls, MN
  • NPI 1700429610
  Care Compare affiliation
• Avera Marshall

  dba Avera@Home Southwest Minnesota

  • Home Health Agency
  • Marshall, MN
  • NPI 1033535547
  Care Compare affiliation
• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1043811870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 TIMBERRIDGE LN APT A",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558114047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 TIMBERRIDGE LN APT A",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558114047",
            "telephone_number": "320-321-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "LEIAH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIAH",
            "last_name": "SMOLLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Her and Man Town Dental PLLC (Boulder Trail Dental)
• Lauren Herbert
• Makyia Mercedes Herman
• Hermantown Valley Elder Care
• Laura Hoeschen, DPT
• Felicity Anne Hohndorf
• Elizabeth Grace Hoivik
• Rilee Ann Holden
• Angel D'Ann Marie Holm
• Mya Jean Holmquist

• Physician Assistant in Hermantown, MN
• Providers in Hermantown, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.