Individual provider Active NPI

Kimberly J Hoffman, FNP-C

  • Nurse Practitioner
  • Green Bay, WI
National Provider Identifier
1114448040
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7796 Issued in WI
Practice address
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone
(920) 288-8000
NPI assigned
Jun 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7796-33 WI
Nurse Practitioner 363L00000X 7796 WI Primary

Addresses

Primary practice location

2845 Greenbrier Rd
Green Bay, WI 54311-6519

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

PO Box 22425
Green Bay, WI 54305-2425
Phone (920) 433-3500

Other practice location 2

720 S Van Buren St
Green Bay, WI 54301-3538
Phone (920) 433-9621

Other identifiers 2

IdentifierTypeStateIssuer
F06172357OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
100069426MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170815002979 WI Practitioner - Nurse Practitioner 7618249301 Reassigns benefits to 3 organizations
I20220502002352 IL Practitioner - Nurse Practitioner 7618249301 Reassigns benefits to 1 organization
I20240530002100 WA Practitioner - Nurse Practitioner 7618249301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services-WaGroup PAC ID 7911069703, 25 clinicians
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 474-3131

2979 Squalicum Pkwy
Suite 201
Bellingham, WA 98225-1813
Phone (360) 788-6800

425 Pine Ridge Blvd
Suite 209
Wausau, WI 54401-4123
Phone (715) 847-0400

62 W 7TH Ave
Spokane, WA 99204-2321

Hospital & facility affiliations

  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030
  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
164390-30WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Apr 18, 2022 Accepting new patients
Providence Health & Services-Wa CurrentSince Jun 17, 2024 Accepting new patients
Green Bay Emergency Medicine Services S.C. CurrentSince Dec 1, 2022 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Mar 22, 2021 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Mar 22, 2021 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

2979 Squalicum Pkwy
Ste 201
Bellingham, WA 98225
Phone (360) 756-6800

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

425 Pine Ridge Blvd
Ste 209
Wausau, WI 54401
Phone (715) 845-4606

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Interoperability endpoints

  • Direct secure messaging: khoffman177855@direct.thedacare.org
  • Direct secure messaging: khoffmanaprn346695@carlehiedirect.net

Organizations & group practices 9

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 11

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1114448040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 GREENBRIER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116519",
            "telephone_number": "920-288-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 22425",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543052425",
            "country_code": "US",
            "telephone_number": "920-433-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 S Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543013538",
            "country_code": "US",
            "telephone_number": "920-433-9621",
            "fax_number": "920-433-0565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7796-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "7796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F06172357",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100069426",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.