Individual provider Active NPI

Megan Hoffman, PA C

  • Physician Assistant
  • Brandon, FL
National Provider Identifier
1417469578
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114233 Issued in FL
Practice address
615 Vonderburg Dr
Brandon, FL 33511-5972
Phone
(813) 684-2663
Fax
(813) 658-6222
NPI assigned
Oct 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114233 FL Primary

Addresses

Primary practice location

615 Vonderburg Dr
Brandon, FL 33511-5972

Mailing address

615 Vonderburg Dr
Brandon, FL 33511-5972
Phone (813) 684-2663

Other practice location 1

9300 DeWitt Loop
Fort Belvoir, VA 22060-5285
Phone (571) 231-2191

Other practice location 2

1860 Town Center Dr Ste 300
Reston, VA 20190-5900
Phone (703) 435-6604

Other practice location 3

14547 Bruce B Downs Blvd Ste C
Tampa, FL 33613-2709
Phone (813) 979-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181108000432 DC Practitioner - Physician Assistant 3274894027 Reassigns benefits to 1 organization
I20190411000152 VA Practitioner - Physician Assistant 3274894027 Reassigns benefits to 1 organization
I20210914000054 FL Practitioner - Physician Assistant 3274894027 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians

Practice addresses (Care Compare)

14547 Bruce B Downs Blvd
Tampa, FL 33613-2709

2352 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9203

38101 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 715-0195

38103 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 778-0414

38105 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 815-5380

38107 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 979-0440

38135 Market Square Dr
Zephyrhills, FL 33542-7505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021442NYMDOccupational Therapist
PA9114233FLMDPhysician Assistant

Practice roles (7 of 9)

OrganizationSpecialtyStatusNew patients
Town Center Orthopaedic Associates PC CurrentSince Oct 15, 2018 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Mar 4, 2024 Accepting new patients
Florida Medical Clinic LLC CurrentSince Mar 4, 2024 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Jun 17, 2024 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Jun 17, 2024 Accepting new patients
Florida Medical Clinic, LLC Past Accepting new patients
Ohi West Medical Group II LLC Past Accepting new patients

Locations

14547 Bruce B Downs Blvd
Ste C
Tampa, FL 33613
Phone (813) 979-0440

38107 Market Square Dr
Zephyrhills, FL 33542
Phone (813) 780-1555

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

44095 Pipeline Plz
Ste 370
Ashburn, VA 20147
Phone (571) 623-3500

1860 Town Center Dr
Ste 300
Reston, VA 20190
Phone (703) 483-4684

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1417469578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115972",
            "telephone_number": "813-684-2663",
            "fax_number": "813-658-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115972",
            "telephone_number": "813-684-2663",
            "fax_number": "813-658-6222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 DeWitt Loop",
            "address_purpose": "LOCATION",
            "city": "Fort Belvoir",
            "state": "VA",
            "postal_code": "220605285",
            "country_code": "US",
            "telephone_number": "571-231-2191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1860 Town Center Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905900",
            "country_code": "US",
            "telephone_number": "703-435-6604",
            "fax_number": "703-787-6575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14547 Bruce B Downs Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336132709",
            "country_code": "US",
            "telephone_number": "813-979-0440",
            "fax_number": "813-355-5054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "MEGAN",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.