Active NPI
Amy Lynn Hoffman, DO
- Emergency Medicine Physician
- Grand Haven, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101014274
- Practice address
- 1309 Sheldon Rd
Grand Haven, MI 49417-2404 - Phone
- (866) 898-7139
- Fax
- (616) 975-9824
- NPI assigned
- Jul 28, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | O2823 | KY | |
| Emergency Medicine Physician | 207P00000X | 02003951A | IN | |
| Emergency Medicine Physician | 207P00000X | 5101014274 | MI | Primary |
Addresses
Primary practice location
1309 Sheldon Rd
Grand Haven, MI 49417-2404
Mailing address
PO Box 673755
Detroit, MI 48267-3755
Phone (866) 898-7139
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114984984 | Medicaid | MI | |
| AH014274 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003951A | IN | MD | Emergency Medicine Physician |
| O2823 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians-Midwest | Emergency Medicine | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Emergency Health Partners Grand Haven PLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Health Partners Muskegon | Emergency Medicine | Past | Accepting new patients |
| Pere Marquette Emergency Physicians, PLC | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243
801 N State St
Greenfield, IN 46140
Phone (317) 462-5544
1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1548912553
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Grand Haven, MI
- NPI 1700950953
-
- Emergency Medicine Physician
- Muskegon, MI
- NPI 1235179029
-
- Emergency Medicine Physician
- Ludington, MI
- NPI 1447284112
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1609811413
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1508870197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 673755",
"city": "DETROIT",
"state": "MI",
"postal_code": "482673755",
"telephone_number": "866-898-7139",
"fax_number": "616-975-9824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 SHELDON RD",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172404",
"telephone_number": "866-898-7139",
"fax_number": "616-975-9824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "AMY",
"middle_name": "LYNN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "O2823",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02003951A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101014274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114984984",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AH014274",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.