Individual provider Active NPI

Jesse Daniel Hoffmeister, M.S., SLP

  • Speech-Language Pathologist
  • Antigo, WI
National Provider Identifier
1083050660
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4070-154 Issued in WI
Practice address
N2250 W Rollwood Rd
Antigo, WI 54409-9019
Phone
(715) 216-0714
NPI assigned
May 22, 2013
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4070-154 WI Primary

Addresses

Primary practice location

N2250 W Rollwood Rd
Antigo, WI 54409-9019

Mailing address

N2250 W Rollwood Rd
Antigo, WI 54409-9019
Phone (715) 216-0714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160823001729 WI Practitioner - Qualified Speech Language Pathologist 8224323712 Reassigns benefits to 1 organization
I20210511000049 MN Practitioner - Qualified Speech Language Pathologist 8224323712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of Minnesota Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
79.17
Promoting interoperability
100
Improvement activities
40
Cost
73.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4070-154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jun 30, 2021 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jun 30, 2021 Accepting new patients
Fairview Express Care Current Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Jun 22, 2018 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist Current Accepting new patients
Fairview Express Care CurrentSince Jun 30, 2021 Accepting new patients
Fairview Express Care CurrentSince Jun 30, 2021 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Jun 22, 2018 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0331

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1083050660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2250 W ROLLWOOD RD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544099019",
            "telephone_number": "715-216-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2250 W ROLLWOOD RD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544099019",
            "telephone_number": "715-216-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMEISTER",
        "first_name": "JESSE",
        "middle_name": "DANIEL",
        "credential": "M.S., SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-22",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4070-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antigo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.