NPIMap

Individual provider Active NPI

Anne Catherine Hofer, M.D.

  • Family Medicine Physician
  • Eden, TX
National Provider Identifier
1346560562
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T2625 Issued in TX
Practice address
614 Eaker St
Eden, TX 76837
Phone
(325) 869-5911
NPI assigned
Jun 10, 2010
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 50943 CO
Student in an Organized Health Care Education/Training Program 390200000X BP10037210 TX
Family Medicine Physician 207Q00000X T2625 TX Primary

Addresses

Primary practice location

614 Eaker St
Eden, TX 76837

Mailing address

4705 Foster Ranch Rd
Austin, TX 78735-6208
Phone (512) 647-0566

Other identifiers 1

IdentifierTypeStateIssuer
93902573MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429003470 TX Practitioner - Family Practice 7416176581 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2625TXMDFamily Medicine Physician
50943COMDFederally Qualified Health Center (FQHC)
BP10037210TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher County Hospital District Current Accepting new patients
Concho County Hospital District Family Medicine Current Accepting new patients
Ballinger Memorial Hospital District Current Accepting new patients
Concho County Hospital District CurrentSince Nov 3, 2024 Accepting new patients
Fisher County Hospital District CurrentSince Oct 1, 2023 Accepting new patients
Ballinger Memorial Hospital District CurrentSince Mar 29, 2024 Accepting new patients
Fisher County Hospital District CurrentSince Oct 1, 2023 Accepting new patients
Ballinger Memorial Hospital District CurrentSince Mar 29, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Apr 27, 2024 Accepting new patients
Concho County Hospital District CurrentSince Nov 3, 2024 Accepting new patients
Ballinger Memorial Hospital District Past Accepting new patients

Locations

608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

705 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10195/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/ballmhd-ac9e1005
  • FHIR API: https://fhir-usa.unify.chbase.com/org/conc-1a231bb4

Organizations & group practices 12

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": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1346560562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 FOSTER RANCH RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356208",
            "telephone_number": "512-647-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 EAKER ST",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "76837",
            "telephone_number": "325-869-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFER",
        "first_name": "ANNE",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CO",
            "license": "50943",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10037210",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T2625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93902573",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, TX

Sources for this page

Verify at the official NPI Registry.