Active NPI
Kristin Victoria Hofer, PA-C
- Medical Physician Assistant
- Calumet City, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085004150
- Practice address
- 1600 Torrence Ave
Calumet City, IL 60409-5430 - Phone
- (708) 915-4961
- NPI assigned
- Oct 3, 2011
- Last updated
- Jul 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085004150 | IL | Primary |
Addresses
Primary practice location
1600 Torrence Ave
Calumet City, IL 60409-5430
Mailing address
11S524 Walter LN
Naperville, IL 60564-5783
Phone (815) 545-5602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15345 S la Grange Rd
Orland Park, IL 60462-3712
Phone (708) 400-8881
19550 Governors Hwy
Flossmoor, IL 60422-2125
Phone (708) 799-8400
4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000
6050 Caton Farm Rd
Plainfield, IL 60586-8218
Phone (815) 609-5501
621 E Lincoln Hwy
New Lenox, IL 60451-1972
Phone (815) 907-5956
800 N Larkin Ave
Joliet, IL 60435-3429
Phone (815) 741-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DBAGDD/Endpoint/DBAGDD
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Urgent Care Clinic/Center
- Orland Park, IL
- NPI 1962273003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1063796563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11S524 WALTER LN",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605645783",
"telephone_number": "815-545-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 TORRENCE AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604095430",
"telephone_number": "708-915-4961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFER",
"first_name": "KRISTIN",
"middle_name": "VICTORIA",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085004150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calumet City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.