Active NPI
Darleen C Hoffert, DNP RN AGNP-C QMHP
- Adult Health Nurse Practitioner
- Pulaski, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704236066
- Practice address
- 25 4TH St NW
Pulaski, VA 24301-4613 - Phone
- (540) 980-0922
- Fax
- (540) 980-2931
- NPI assigned
- Feb 15, 2008
- Last updated
- Mar 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704236066 | MI | |
| Gerontology Nurse Practitioner | 363LG0600X | 4704236066 | MI | |
| Adult Health Nurse Practitioner | 363LA2200X | 4704236066 | MI | Primary |
Addresses
Primary practice location
25 4TH St NW
Pulaski, VA 24301-4613
Mailing address
25 4TH St NW
PO Box 1088
Pulaski, VA 24301
Phone (540) 980-0922
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001287899 | Other | VA | STATE OF VIRGINIA RN LICENSE |
| 4704236066 | Other | MI | STATE OF MICHIGAN LICENSE |
| 00241788175 | Other | VA | STATE OF VIRGINIA NP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1945 Roanoke Blvd
Salem, VA 24153-6408
Phone (540) 345-3894
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704236066 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Free Clinic of Pulaski County Inc | Current | Accepting new patients | |
| Universal Health Corporation | Current | Accepting new patients |
Locations
315 E Lee Hwy
New Market, VA 22844
Phone (540) 740-8041
25 4th St NW
Pulaski, VA 24301
Phone (540) 980-0922
130 Church Ave SW
Roanoke, VA 24011
1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094
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.
-
- Internal Medicine Physician
- Roanoke, VA
- NPI 1407117625
-
- Primary Care Clinic/Center
- Pulaski, VA
- NPI 1225619117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1356519938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 4TH ST NW",
"address_2": "PO BOX 1088",
"city": "PULASKI",
"state": "VA",
"postal_code": "24301",
"telephone_number": "540-980-0922",
"fax_number": "540-980-2931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 4TH ST NW",
"city": "PULASKI",
"state": "VA",
"postal_code": "243014613",
"telephone_number": "540-980-0922",
"fax_number": "540-980-2931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFERT",
"first_name": "DARLEEN",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "DNP RN AGNP-C QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-15",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704236066",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "4704236066",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704236066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF VIRGINIA RN LICENSE",
"identifier": "0001287899",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN LICENSE",
"identifier": "4704236066",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF VIRGINIA NP LICENSE",
"identifier": "00241788175",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pulaski, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.