Individual provider Active NPI

Amy Ann Hoffman, PA-C

  • Physician Assistant
  • Annapolis, MD
National Provider Identifier
1487888053
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065301 Issued in PA
Practice address
600 Ridgely Ave
Annapolis, MD 21401-1001
Phone
(410) 224-7795
Fax
(443) 224-1000
NPI assigned
May 11, 2009
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA065301 PA Primary
Medical Physician Assistant 363AM0700X C0003820 MD

Addresses

Primary practice location

600 Ridgely Ave
Annapolis, MD 21401-1001

Mailing address

600 Ridgely Ave
Annapolis, MD 21401-1001
Phone (410) 224-7795

Other practice location 1

120 Irmc Dr Ste 130
Indiana, PA 15701-3674
Phone (724) 471-7100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Amy.Hoffman@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240126003243 PA Practitioner - Physician Assistant 3072665710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

120 Irmc Dr
Suite 130
Indiana, PA 15701-3674
Phone (724) 471-7100

180 Fort Couch Rd
Suite 200
Pittsburgh, PA 15241-1046
Phone (412) 595-0430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0003820MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Jan 17, 2024 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Jan 17, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

120 Irmc Dr
Ste 130
Indiana, PA 15701
Phone (724) 471-7100

180 Fort Couch Rd
Ste 200
Pittsburgh, PA 15241
Phone (412) 595-0430

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: ahoffman@aadermaffiliates.emadirect.md

Organizations & group practices 5

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 4

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": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1487888053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011001",
            "telephone_number": "410-224-7795",
            "fax_number": "443-224-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011001",
            "telephone_number": "410-224-7795",
            "fax_number": "443-224-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Irmc Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013674",
            "country_code": "US",
            "telephone_number": "724-471-7100",
            "fax_number": "724-471-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "AMY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065301",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amy.Hoffman@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "120 Irmc Dr Ste 130",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157013674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.