Individual provider Active NPI

Eric Hofmann

  • Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1487076212
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003791 Issued in CO
Practice address
2315 E Harmony Rd Ste 170
Fort Collins, CO 80528-8620
Phone
(970) 495-8450
Fax
(970) 297-6599
NPI assigned
Jan 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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 PA.0003791 CO Primary

Addresses

Primary practice location

2315 E Harmony Rd Ste 170
Fort Collins, CO 80528-8620

Mailing address

2315 E Harmony Rd Ste 170
Fort Collins, CO 80528-8620
Phone (970) 495-8450

Other practice location 1

3810 Grant Ave
Loveland, CO 80538-8412
Phone (970) 221-9451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20140602001609 CO Practitioner - Physician Assistant 9436372901 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

151 W Lake St
Ste 1500
Fort Collins, CO 80524
Phone (970) 237-8200

2315 E Harmony Rd
Ste 170
Fort Collins, CO 80528
Phone (970) 495-8450

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

1900 16th St
Greeley, CO 80631
Phone (970) 350-2438

1850 Mountain View Ave
Longmont, CO 80501
Phone (303) 776-1500

3810 Grant Ave
#G
Loveland, CO 80538
Phone (719) 941-1400

3810 Grant Ave
Loveland, CO 80538
Phone (970) 669-8881

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 2

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": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1487076212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 E HARMONY RD STE 170",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288620",
            "telephone_number": "970-495-8450",
            "fax_number": "970-297-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E HARMONY RD STE 170",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288620",
            "telephone_number": "970-495-8450",
            "fax_number": "970-297-6599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3810 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805388412",
            "country_code": "US",
            "telephone_number": "970-221-9451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-14",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.