Active NPI
Katrina G Hoffman, FNP
- Hospitalist Physician
- Albany, OR
National Provider Identifier
1083977417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 201250066NP
- Practice address
- 4600 Evergreen PL SE
Albany, OR 97322-6182 - Phone
- (541) 812-4662
- Fax
- (541) 812-4660
- NPI assigned
- Jun 20, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 201250066NP | OR | |
| Family Nurse Practitioner | 363LF0000X | 2012500066NP | OR | |
| Hospitalist Physician | 208M00000X | 201250066NP | OR | Primary |
Addresses
Primary practice location
4600 Evergreen PL SE
Albany, OR 97322-6182
Mailing address
PO Box 1188
Corvallis, OR 97339-1188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500650384 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khoffman6507@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121116000355 | OR | Practitioner - Nurse Practitioner | 7214188416 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012500066NP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Community Health Solutions | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Willamette Community Health Solutions | Current | Accepting new patients |
Locations
1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000
89 Centennial Loop
Ste A
Eugene, OR 97401
Phone (541) 228-3000
2650 Suzanne Way
Ste 200
Eugene, OR 97408
Phone (541) 228-3000
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 and National Provider Directory roles.
-
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- Albany, OR
- NPI 1154372340
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1083977417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1188",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 EVERGREEN PL SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973226182",
"telephone_number": "541-812-4662",
"fax_number": "541-812-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "KATRINA",
"middle_name": "G",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2020-11-04",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "OR",
"license": "201250066NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "2012500066NP",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OR",
"license": "201250066NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500650384",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khoffman6507@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "4600 Evergreen Pl SE",
"city": "Albany",
"state": "OR",
"country_code": "US",
"postal_code": "973226182",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.