Individual provider Active NPI

Jamison Hofer, DO

  • Neurology Physician
  • Keesler AFB, MS
National Provider Identifier
1306208814
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
1731 Issued in NE
Practice address
301 Fisher St
Keesler AFB, MS 39534-2508
Phone
(228) 376-3791
NPI assigned
Mar 23, 2016
Last updated
Aug 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 1731 NE Primary

Addresses

Primary practice location

301 Fisher St
Keesler AFB, MS 39534-2508

Mailing address

301 Fisher St
Keesler AFB, MS 39534-2508
Phone (228) 376-3791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516002551 NE Practitioner - Neurology 2961797238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Consultants of Nebraska PCGroup PAC ID 4385685387, 7 clinicians

Practice addresses (Care Compare)

13340 California St
Suite 201
Omaha, NE 68154-5255
Phone (531) 999-2670

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7822NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Centers of the Midlands LLC CurrentSince Jul 1, 2024 Accepting new patients
Neurology Consultants of Nebraska PC Neurology CurrentSince Jul 1, 2024 Accepting new patients

Locations

13340 California St
Ste 201
Omaha, NE 68154
Phone (402) 614-1999

4350 Dewey Ave
Omaha, NE 68105
Phone (402) 552-2552

11336 S 96th St
Ste 111
Papillion, NE 68046
Phone (531) 867-7317

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12153/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jhofer127323@direct.nebraskamed.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1306208814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FISHER ST",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395342508",
            "telephone_number": "228-376-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FISHER ST",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395342508",
            "telephone_number": "228-376-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFER",
        "first_name": "JAMISON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NE",
            "license": "1731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keesler AFB, MS

Sources for this page

Verify at the official NPI Registry.