Individual provider Active NPI

Mary Elizabeth Hoffman, FNP

  • Family Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1467908202
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004881 Issued in AR
Practice address
303 E Matthews Ave Ste 202
Jonesboro, AR 72401-3120
Phone
(870) 207-7555
Fax
(870) 207-0575
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 A004881 AR Primary

Addresses

Primary practice location

303 E Matthews Ave Ste 202
Jonesboro, AR 72401-3120

Mailing address

403 Jill Dr
Jonesboro, AR 72404-8803
Phone (501) 691-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20241111001766 AR Practitioner - Nurse Practitioner 2264966449 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Bernards Hospital Inc.Group PAC ID 0941105480, shared by 10 NPIs, 187 clinicians
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

303 E Matthews Ave
202 St Bernards Senior Health Clinic
Jonesboro, AR 72401-3120
Phone (870) 207-7555

333 Red Wolf Blvd
Jonesboro, AR 72405-9739
Phone (870) 972-8181

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004881ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Bernards Hospital Inc CurrentSince Sep 2, 2024 Accepting new patients
Doctors Health Group, Inc CurrentSince Nov 1, 2024 Accepting new patients
Doctors Health Group, Inc CurrentSince Nov 1, 2024 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Nov 1, 2024 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Nov 1, 2024 Accepting new patients
St Bernards Hospital Inc. CurrentSince Sep 2, 2024 Accepting new patients

Locations

1001 W Parker Rd
Jonesboro, AR 72404
Phone (870) 336-1700

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

333 Red Wolf Blvd
Jonesboro, AR 72405
Phone (870) 933-1823

303 E Matthews Ave
Ste 202
Jonesboro, AR 72401
Phone (870) 207-7555

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

4000 Linwood Dr
Ste A
Paragould, AR 72450
Phone (870) 239-8503

1 Medical Dr
Ste 100
Paragould, AR 72450
Phone (870) 236-2000

Interoperability endpoints

  • Direct secure messaging: mekrug1@sbpc.medalliesdirect.net

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 1

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1467908202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 JILL DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048803",
            "telephone_number": "501-691-0005",
            "fax_number": "870-207-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E MATTHEWS AVE STE 202",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013120",
            "telephone_number": "870-207-7555",
            "fax_number": "870-207-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.