Individual provider Active NPI

Nathan Hofmann, APRN FNP-BC

  • Family Medicine Physician
  • Anderson, CA
National Provider Identifier
1316528466
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95031289 Issued in CA
Practice address
3082 McMurray Dr
Anderson, CA 96007-3544
Phone
(530) 365-4412
Fax
(530) 365-5186
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0028775 OH
Family Medicine Physician 207Q00000X 95031289 CA Primary

Addresses

Primary practice location

3082 McMurray Dr
Anderson, CA 96007-3544

Mailing address

3082 McMurray Dr
Anderson, CA 96007-3544
Phone (530) 365-4412

Other practice location 1

6611 Clyo Rd Ste A
Dayton, OH 45459-2785
Phone (937) 208-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210708002932 OH Practitioner - Nurse Practitioner 3072915362 Reassigns benefits to 1 organization
I20250327003598 CA Practitioner - Nurse Practitioner 3072915362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Medical Services IncGroup PAC ID 3678886231, 10 clinicians

Practice addresses (Care Compare)

3082 McMurray Dr
Anderson, CA 96007-3544
Phone (530) 365-4420

Hospital & facility affiliations

  • Medical Home Care Professionals Home health agency, Redding, CA, CCN 557107
  • Assured Home Health Home health agency, Redding, CA, CCN 058117

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028775OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc CurrentSince May 10, 2021 Accepting new patients
Gateway Medical Center Inc CurrentSince Sep 29, 2024 Accepting new patients
Mvhe Inc CurrentSince May 10, 2021 Accepting new patients
Mvhe Inc Family Medicine Current Accepting new patients
Gateway Medical Services, Inc. Family Medicine CurrentSince Jan 9, 2025 Accepting new patients

Locations

3082 McMurray Dr
Anderson, CA 96007
Phone (530) 365-4412

1310 Churn Creek Rd
Ste E5
Redding, CA 96003
Phone (530) 722-9907

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

6611 Clyo Rd
Ste A
Dayton, OH 45459
Phone (937) 208-7300

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

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.

Hospital & facility affiliations 2

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1316528466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3082 MCMURRAY DR",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073544",
            "telephone_number": "530-365-4412",
            "fax_number": "530-365-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3082 MCMURRAY DR",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073544",
            "telephone_number": "530-365-4412",
            "fax_number": "530-365-5186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6611 Clyo Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454592785",
            "country_code": "US",
            "telephone_number": "937-208-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "NATHAN",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028775",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95031289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, CA

Sources for this page

Verify at the official NPI Registry.