Individual provider Active NPI

Simona Carmen Hofman, MSN, FNP

  • Family Nurse Practitioner
  • Barrington, IL
National Provider Identifier
1124451810
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209010532 Issued in IL
Practice address
405 Lake Zurich Rd
Barrington, IL 60010-3141
Phone
(224) 770-2424
Fax
(847) 556-1715
NPI assigned
Aug 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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 209010532 IL Primary

Addresses

Primary practice location

405 Lake Zurich Rd
Barrington, IL 60010-3141

Mailing address

405 Lake Zurich Rd
Barrington, IL 60010-3141
Phone (224) 770-2424

Other practice location 1

1717 Deerfield Rd
Deerfield, IL 60015-3900
Phone (224) 770-2424

Other identifiers 1

IdentifierTypeStateIssuer
12751152OtherILCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20140922002461 IL Practitioner - Nurse Practitioner 4880813922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hpa Medical Management LLCGroup PAC ID 3274877105, 16 clinicians

Practice addresses (Care Compare)

405 Lake Zurich Rd
Suite 100
Barrington, IL 60010-3141
Phone (847) 381-5599

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209010532ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Journeycare, Inc. CurrentSince Jun 1, 2015 Accepting new patients
Hpa Medical Management, LLC CurrentSince Feb 1, 2022 Accepting new patients
Journeycare, Inc CurrentSince Jun 1, 2015 Accepting new patients
Hpa Medical Management, LLC CurrentSince Feb 1, 2022 Accepting new patients
Addus Hospice of Illinois, LLC Past Accepting new patients

Locations

405 Lake Zurich Rd
Ste 100
Barrington, IL 60010
Phone (847) 381-5599

833 W Chicago Ave
Chicago, IL 60642
Phone (312) 492-3099

833 W Chicago Ave
Ste 300
Chicago, IL 60642
Phone (312) 733-8900

2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

6303 Cowboys Way
Ste 600
Frisco, TX 75034

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.

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1124451810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LAKE ZURICH RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103141",
            "telephone_number": "224-770-2424",
            "fax_number": "847-556-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LAKE ZURICH RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103141",
            "telephone_number": "224-770-2424",
            "fax_number": "847-556-1715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Deerfield Rd",
            "address_purpose": "LOCATION",
            "city": "Deerfield",
            "state": "IL",
            "postal_code": "600153900",
            "country_code": "US",
            "telephone_number": "224-770-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFMAN",
        "first_name": "SIMONA",
        "middle_name": "CARMEN",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12751152",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.