NPIMap

Individual provider Active NPI

Tiffani Ann Hoefer, PA

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1093091910
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04957 Issued in NC
Practice address
5241 Six Forks Rd Ste 100
Raleigh, NC 27609-4431
Phone
(919) 785-3400
Fax
(919) 783-7778
NPI assigned
Oct 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1501497 KS
Physician Assistant 363A00000X 0010-04957 NC Primary

Addresses

Primary practice location

5241 Six Forks Rd Ste 100
Raleigh, NC 27609-4431

Mailing address

PO Box 52411
Phoenix, AZ 85072-2411
Phone (919) 785-3400

Other names 1

  • Tiffani Ann Ohrt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140625000016 NC Practitioner - Physician Assistant 5294900247 Reassigns benefits to 1 organization
I20251028004148 MO Practitioner - Physician Assistant 5294900247 Reassigns benefits to 1 organization

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
Raleigh Neurosurgical Clinic IncGroup PAC ID 1759315500, 52 clinicians
Western Missouri Medical CenterGroup PAC ID 7416931506, 67 clinicians

Practice addresses (Care Compare)

2605 Hospital Rd
Goldsboro, NC 27534-9424
Phone (919) 785-3400

403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 747-2500

5838 Six Forks Rd
Suite 100
Raleigh, NC 27609-3893
Phone (919) 785-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-04957NCMDPhysician Assistant
1501497KSMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Western Missouri Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Raleigh Neurosurgical Clinic, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Western Missouri Medical Center Past Accepting new patients

Locations

407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

12610 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 405-1747

5838 Six Forks Rd
Ste 100
Raleigh, NC 27609

Interoperability endpoints

  • Direct secure messaging: thoefer399739@directhisp.wakemed.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1093091910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52411",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722411",
            "telephone_number": "919-785-3400",
            "fax_number": "919-783-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 SIX FORKS RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094431",
            "telephone_number": "919-785-3400",
            "fax_number": "919-783-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEFER",
        "first_name": "TIFFANI",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "1501497",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANI",
            "last_name": "OHRT",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.