Individual provider Active NPI

Heather Hofstra, NP-C

  • Family Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1255748950
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28161259A Issued in IN
Practice address
1201 S Main St
Crown Point, IN 46307-8481
Phone
(219) 681-6920
Fax
(219) 757-5717
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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 28161259A IN Primary

Addresses

Primary practice location

1201 S Main St
Crown Point, IN 46307-8481

Mailing address

10361 Cass St
Crown Point, IN 46307-7406
Phone (219) 306-3315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240628002728 IN Practitioner - Nurse Practitioner 9931328150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28161259AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince May 30, 2024 Accepting new patients
The Methodist Hospitals, Inc Current Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

521 E 86th Ave
Ste Z
Merrillville, IN 46410
Phone (219) 769-0777

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

Interoperability endpoints

  • Direct secure messaging: hhofstra@cnd.gwaydirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1255748950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10361 CASS ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077406",
            "telephone_number": "219-306-3315",
            "fax_number": "216-757-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078481",
            "telephone_number": "219-681-6920",
            "fax_number": "219-757-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFSTRA",
        "first_name": "HEATHER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28161259A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.