Individual provider Active NPI

Jacob Timothy Hoffman

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1114704483
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1137551 Issued in TX
Practice address
11007 Quaker Ave
Lubbock, TX 79424-8317
Phone
(806) 701-4040
Fax
(806) 701-4041
NPI assigned
Sep 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1137551 TX Primary

Addresses

Primary practice location

11007 Quaker Ave
Lubbock, TX 79424-8317

Mailing address

11007 Quaker Ave
Lubbock, TX 79424-8317
Phone (806) 701-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231117000117 TX Practitioner - Nurse Practitioner 8022465772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Lubbock Primary Care, PLLCGroup PAC ID 1951687946, 15 clinicians

Practice addresses (Care Compare)

11007 Quaker Ave
Lubbock, TX 79424-8317
Phone (806) 701-4040

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • University Medical Center Hospital, Lubbock, TX, CCN 450686

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Primary Care, PLLC CurrentSince Oct 7, 2023 Accepting new patients
Physician Management Services of Texas II, LLC PastSince Sep 17, 2023 Accepting new patients

Locations

11007 Quaker Ave
Lubbock, TX 79424
Phone (806) 548-6010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHJIAD

Organizations & group practices 2

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 6

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1114704483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11007 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248317",
            "telephone_number": "806-701-4040",
            "fax_number": "806-701-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11007 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248317",
            "telephone_number": "806-701-4040",
            "fax_number": "806-701-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "JACOB",
        "middle_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1137551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.