Individual provider Active NPI

Melissa Hofmann

  • Nurse Practitioner
  • Sperry, IA
National Provider Identifier
1184462970
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A179889 Issued in IA
Practice address
10386 Stony Hollow Rd
Sperry, IA 52650-9851
Phone
(319) 601-9982
NPI assigned
Jul 17, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A179889 IA Primary

Addresses

Primary practice location

10386 Stony Hollow Rd
Sperry, IA 52650-9851

Mailing address

10386 Stony Hollow Rd
Sperry, IA 52650-9851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20241003002878 IA Practitioner - Nurse Practitioner 8123559911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
QV Urgent Care Ia PLLCGroup PAC ID 1052722147, 37 clinicians

Practice addresses (Care Compare)

801 N Grand Ave
Mt Pleasant, IA 52641-3120
Phone (319) 984-4775

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
QV Urgent Care Ia PLLC CurrentSince Sep 1, 2024 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Sep 1, 2024 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Sep 23, 2024 Accepting new patients
QV Urgent Care Ia PLLC Past Accepting new patients
QV Urgent Care Ia PLLC Past Accepting new patients
QV Urgent Care Ia PLLC Past Accepting new patients
Complexcare Medical Group Midwest M PLLC Nurse Practitioner Past Accepting new patients
QV Urgent Care Ia PLLC Past Accepting new patients

Locations

1615 Breca Ridge Dr
Anamosa, IA 52205
Phone (319) 452-3070

5300 Grand Meadow Dr
Asbury, IA 52002
Phone (563) 557-7662

2001 1st Ave N
Estherville, IA 51334
Phone (712) 362-3594

1501 39th St
Fort Madison, IA 52627
Phone (319) 376-1511

1808 Main St
Gowrie, IA 50543
Phone (515) 352-3912

213 West St S
Grinnell, IA 50112
Phone (641) 519-0563

2121 Avenue L
Hawarden, IA 51023
Phone (712) 551-1074

1304 S Market St
Lake Park, IA 51347
Phone (712) 832-3691

801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775

2002 Cedar St
Muscatine, IA 52761
Phone (563) 263-2023

1817 1st Ave E
Newton, IA 50208
Phone (641) 458-3055

312 W McLane St
Osceola, IA 50213
Phone (641) 658-9048

2625 Iowa St
Perry, IA 50220
Phone (515) 465-5349

506 E 4th St
Sutherland, IA 51058
Phone (712) 220-9241

2489 Highway 92
Washington, IA 52353
Phone (319) 206-9383

601 E Polk St
Washington, IA 52353
Phone (319) 653-2229

401 E 20th St
Covington, KY 41014
Phone (859) 283-6600

3876 Turkeyfoot Rd
Erlanger, KY 41018
Phone (502) 525-6511

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

2344 Amsterdam Rd
Villa Hills, KY 41017
Phone (859) 341-3981

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1184462970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10386 STONY HOLLOW RD",
            "city": "SPERRY",
            "state": "IA",
            "postal_code": "526509851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10386 STONY HOLLOW RD",
            "city": "SPERRY",
            "state": "IA",
            "postal_code": "526509851",
            "telephone_number": "319-601-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A179889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sperry, IA

Sources for this page

Verify at the official NPI Registry.