Individual provider Active NPI

Teresa A. Hoffmann, FNP-BC

  • Family Nurse Practitioner
  • Lee's Summit, MO
National Provider Identifier
1144315763
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
145651 Issued in MO
Practice address
4881 NE Goodview Cir
Lees Summit, MO 64064-1996
Phone
(913) 574-2350
Fax
(913) 574-2413
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 45410 KS
Family Nurse Practitioner 363LF0000X 145651 MO Primary
Registered Nurse 163W00000X 145651 MO
Registered Nurse 163W00000X 14-86097-102 KS

Addresses

Primary practice location

4881 NE Goodview Cir
Lees Summit, MO 64064-1996

Mailing address

9200 Indian Creek Pkwy
BLDG. 9, Ste. 300
Overland Park, KS 66210-2036
Phone (913) 574-2800

Other identifiers 2

IdentifierTypeStateIssuer
1144315763MedicaidMO
200004570DMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040316000163 MO Practitioner - Nurse Practitioner 9739079765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 E 101St Terrace
Univ KS CNCR CNTR S
Kansas City, MO 64131-3366
Phone (913) 588-1227

4881 NE Goodview Cir
Univ KS CNCR Center
Lees Summit, MO 64064-1996
Phone (913) 588-1227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14-86097-102KSMDRegistered Nurse
45410KSMDFamily Nurse Practitioner
145651MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kansas Hospital Authority CurrentSince Jun 20, 2011 Accepting new patients
University of Kansas Hospital Authority CurrentSince Jun 20, 2011 Accepting new patients
Kansas City Cancer Center, LLC Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

9200 Indian Creek Pkwy
Ste 300
Overland Park, KS 66210
Phone (913) 541-4600

1000 E 101st Ter
Kansas City, MO 64131
Phone (816) 333-1326

4881 NE Goodview Cir
Lees Summit, MO 64064
Phone (913) 261-6000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1144315763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 INDIAN CREEK PKWY",
            "address_2": "BLDG. 9, STE. 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102036",
            "telephone_number": "913-574-2800",
            "fax_number": "913-574-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 NE GOODVIEW CIR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641996",
            "telephone_number": "913-574-2350",
            "fax_number": "913-574-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "TERESA",
        "middle_name": "A.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45410",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "145651",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "145651",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-86097-102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144315763",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004570D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.