Active NPI
Jacklene Hoffman, APRN, NP-C
- Family Nurse Practitioner
- Bismarck, ND
National Provider Identifier
1477047447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R35439
- Practice address
- 310 N 10TH St
Bismarck, ND 58501-4516 - Phone
- (701) 530-7502
- NPI assigned
- Jun 21, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R35439 | ND | Primary |
Addresses
Primary practice location
310 N 10TH St
Bismarck, ND 58501-4516
Mailing address
6220 28TH Ave SE
Lincoln, ND 58504-9314
Phone (206) 200-5454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180828003742 | ND | Practitioner - Nurse Practitioner | 9335499136 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Alexius Medical Center
Practice addresses (Care Compare)
2111 Landmark Cir NW
Minot, ND 58703-1967
Phone (701) 858-1800
900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000
Hospital & facility affiliations
- CHI St Alexius Health
- Sanford Medical Center Bismarck
- CHI St Alexius Health Dickinson
- West River Regional Medical Center
- Garrison Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.48 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R35439 | ND | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Alexius Medical Center | Current | Accepting new patients | |
| St Alexius Medical Center | Current | Accepting new patients | |
| Community Memorial Hospital | Past | Accepting new patients |
Locations
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
310 N 10th St
Bismarck, ND 58501
Phone (701) 530-7500
Interoperability endpoints
- jhoffman305128@achce.catholichealth.net
Organizations & group practices 13
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.
-
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
-
- Critical Access Hospital
- Turtle Lake, ND
- NPI 1013961820
-
- Medicare Defined Swing Bed Hospital Unit
- Turtle Lake, ND
- NPI 1295772820
-
- General Acute Care Hospital
- Bismarck, ND
- NPI 1306832654
-
- Community/Retail Pharmacy
- Bismarck, ND
- NPI 1336283928
-
- Rural Health Clinic/Center
- Turtle Lake, ND
- NPI 1336708536
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Williston, ND
- NPI 1376605600
-
- Psychiatric Hospital Unit
- Bismarck, ND
- NPI 1538220611
-
- Rural Health Clinic/Center
- Washburn, ND
- NPI 1831267236
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Dickinson, ND
- NPI 1861553844
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bismarck, ND
- NPI 1972667673
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Dickinson, ND
- NPI 1992947956
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1477047447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 28TH AVE SE",
"city": "LINCOLN",
"state": "ND",
"postal_code": "585049314",
"telephone_number": "206-200-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N 10TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014516",
"telephone_number": "701-530-7502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "JACKLENE",
"credential": "APRN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-21",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "R35439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.