Individual provider Active NPI

Tonnette Hoffman, CNP

  • Family Nurse Practitioner
  • Kitts Hill, OH
National Provider Identifier
1437601143
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP020057 Issued in OH
Practice address
13804 State Route 141
Kitts Hill, OH 45645-8848
Phone
(740) 643-2082
Fax
(740) 643-2126
NPI assigned
Oct 28, 2016
Last updated
Jan 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP020057 OH Primary

Addresses

Primary practice location

13804 State Route 141
Kitts Hill, OH 45645-8848

Mailing address

305 N 5TH St
Ironton, OH 45638-1578
Phone (740) 532-4858

Other identifiers 3

IdentifierTypeStateIssuer
7100435770MedicaidKY
0211166MedicaidOH
1437601143MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 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
I20170308001802 OH Practitioner - Nurse Practitioner 4688958705 Reassigns benefits to 4 organizations
I20240126001707 FL Practitioner - Nurse Practitioner 4688958705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Rosa Hma Physician Management, LLCGroup PAC ID 1658478532, 51 clinicians

Practice addresses (Care Compare)

4225 Woodbine Rd
Pace, FL 32571-8791
Phone (850) 994-6575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP020057OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Jan 7, 2017 Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Jan 7, 2017 Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Jan 7, 2017 Accepting new patients
Santa Rosa Hma Physician Management, LLC CurrentSince Mar 1, 2024 Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Jan 7, 2017 Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Jan 7, 2017 Accepting new patients
Ironton & Lawrence County Area Community Action Organization Current Accepting new patients
Santa Rosa Hma Physician Management LLC Family PastSince Jul 4, 2021 Accepting new patients

Locations

7456 Navarre Pkwy
Navarre, FL 32566
Phone (850) 626-5070

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

717 3rd Ave
Chesapeake, OH 45619
Phone (740) 867-6687

717 3rd Ave
#C
Chesapeake, OH 45619
Phone (740) 867-6687

120 N 3rd St
Ironton, OH 45638
Phone (740) 532-7855

1408 Campbell Dr
#201
Ironton, OH 45638
Phone (740) 534-9195

305 N 5th St
Ironton, OH 45638

13804 State Route 141
Kitts Hill, OH 45645
Phone (740) 643-0234

10777 County Road 107
Proctorville, OH 45669
Phone (740) 302-0541

55 Township Road 508 E
South Point, OH 45680
Phone (740) 377-2712

Interoperability endpoints

  • Direct secure messaging: tonnette.hoffman.1@4692.direct.athenahealth.com

Organizations & group practices 8

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 3

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": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1437601143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 5TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381578",
            "telephone_number": "740-532-4858",
            "fax_number": "740-532-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13804 STATE ROUTE 141",
            "city": "KITTS HILL",
            "state": "OH",
            "postal_code": "456458848",
            "telephone_number": "740-643-2082",
            "fax_number": "740-643-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "TONNETTE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP020057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100435770",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211166",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437601143",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kitts Hill, OH

Sources for this page

Verify at the official NPI Registry.