Individual provider Active NPI

Jennifer Leah Hoffman, CRNP

  • Family Nurse Practitioner
  • Pottstown, PA
National Provider Identifier
1518157114
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009419 Issued in PA
Practice address
1610 Medical Dr Ste 105
Pottstown, PA 19464-3279
Phone
(484) 925-0500
NPI assigned
Jul 30, 2007
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP009419 PA Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X SP009419 PA
Registered Nurse 163W00000X RN553040 PA

Addresses

Primary practice location

1610 Medical Dr Ste 105
Pottstown, PA 19464-3279

Mailing address

1610 Medical Dr Ste 105
Pottstown, PA 19464-3279
Phone (484) 925-0500

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
I20240812002643 PA Practitioner - Nurse Practitioner 4789122508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

1777 Sentry Pkwy W
RWHG Total Women Health and Wellness
Blue Bell, PA 19422-2207
Phone (267) 460-8802

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN553040PAMDRegistered Nurse
SP009419PAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC CurrentSince Aug 12, 2024 Accepting new patients
Fornance Physician Services, Inc. Past Accepting new patients
Delaware Valley Community Health, Inc. Past Accepting new patients

Locations

3050 Hamilton Blvd
Ste 200
Allentown, PA 18103
Phone (610) 435-9575

1777 Sentry Pkwy W
Blue Bell, PA 19422
Phone (215) 767-7097

1777 Sentry Pkwy W
Ste 108
Blue Bell, PA 19422
Phone (267) 460-8802

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

1000 Walnut St
Ste 122
Lansdale, PA 19446
Phone (215) 368-1950

1610 Medical Dr
Ste 105
Pottstown, PA 19464
Phone (484) 925-0500

Interoperability endpoints

  • Direct secure messaging: jennifer.hoffman@axia.eclinicaldirectplus.com

Organizations & group practices 3

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 2

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1518157114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 MEDICAL DR STE 105",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643279",
            "telephone_number": "484-925-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MEDICAL DR STE 105",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643279",
            "telephone_number": "484-925-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "JENNIFER",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009419",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP009419",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN553040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.