Individual provider Active NPI

Christian Hoffman, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Peters, MO
National Provider Identifier
1467062646
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2020019745 Issued in MO
Practice address
255 Spencer Rd Ste 201
Saint Peters, MO 63376-2576
Phone
(636) 939-2550
NPI assigned
Aug 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2020019745 MO Primary

Addresses

Primary practice location

255 Spencer Rd Ste 201
Saint Peters, MO 63376-2576

Mailing address

11094 Saturn Dr
Maryland Heights, MO 63043-1951
Phone (618) 218-4467

Other practice location 1

851 E 5th St Ste 308
Washington, MO 63090-3130
Phone (636) 432-5500

Other practice location 2

816 S Kirkwood Rd Ste 105
Kirkwood, MO 63122-6056
Phone (314) 288-6888

Other practice location 3

16020 Swingley Ridge Rd Ste 300
Chesterfield, MO 63017-2085
Phone (636) 432-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200831000113 MO Practitioner - Nurse Practitioner 6800213331 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Adult Hospitalists Jefferson LLCGroup PAC ID 8628205598, 58 clinicians
Mercy Aco Clinical Services IncGroup PAC ID 6901188572, 159 clinicians
Mercy Clinic Adult Hospitalists - St. Louis, LLCGroup PAC ID 6002809944, 139 clinicians

Practice addresses (Care Compare)

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1328

1400 US Hwy 61
Festus, MO 63028-4100
Phone (636) 933-8091

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone (636) 237-4200

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6339

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020019745MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthonys Physician Organization Hospitalist Services, L.C. CurrentSince Oct 18, 2021 Accepting new patients
Mercy Clinic Adult Hospitalists- Jefferson, LLC CurrentSince Oct 18, 2021 Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC CurrentSince Oct 18, 2021 Accepting new patients
Psychological & Behavioral Consultants, LLC CurrentSince Oct 24, 2020 Accepting new patients
Mercy Aco Clinical Services Inc CurrentSince Jun 4, 2022 Accepting new patients
Mercy Clinic Adult Hospitalists - Washington, LLC CurrentSince Oct 18, 2021 Accepting new patients

Locations

16020 Swingley Ridge Rd
Ste 300
Chesterfield, MO 63017
Phone (636) 432-5000

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

816 S Kirkwood Rd
Ste 105
Saint Louis, MO 63122
Phone (314) 288-3800

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

851 E 5th St
Ste 308
Washington, MO 63090
Phone (314) 251-4400

851 E 5th St
Ste 154
Washington, MO 63090
Phone (314) 251-6663

Organizations & group practices 6

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 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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1467062646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11094 SATURN DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431951",
            "telephone_number": "618-218-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SPENCER RD STE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762576",
            "telephone_number": "636-939-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 E 5th St Ste 308",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630903130",
            "country_code": "US",
            "telephone_number": "636-432-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "816 S Kirkwood Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "MO",
            "postal_code": "631226056",
            "country_code": "US",
            "telephone_number": "314-288-6888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16020 Swingley Ridge Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630172085",
            "country_code": "US",
            "telephone_number": "636-432-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "CHRISTIAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2020019745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.