Individual provider Active NPI

Rachel L. Hoffman, DNP, PHN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Redlands, CA
National Provider Identifier
1558844977
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95010001 Issued in CA
Practice address
1030 E Brockton Ave
Redlands, CA 92374-3611
Phone
(909) 328-1830
Fax
(909) 328-1827
NPI assigned
Sep 11, 2018
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95010001 CA Primary
Registered Nurse 163W00000X 679977 CA

Addresses

Primary practice location

1030 E Brockton Ave
Redlands, CA 92374-3611

Mailing address

1508 Brockton Avenue, Suite 511
Redlands, CA 92373-1858
Phone (909) 328-1828

Other practice location 1

511 Brookside Ave
Redlands, CA 92373-4611
Phone (909) 328-1828

Other practice location 2

5887 Brockton Ave Ste A
Riverside, CA 92506-1858
Phone (951) 275-8500

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.valant.io/io/Account/LogOn?ReturnUrl=%2fio%2fClient Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200622002169 CA Practitioner - Nurse Practitioner 4880016724

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1508 E Brockton Ave
Suite 511
Redlands, CA 92374-3904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95010001CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Retro Analysis, Inc. Registered Nurse CurrentSince Mar 1, 2020 Accepting new patients

Locations

511 Brookside Ave
Redlands, CA 92373
Phone (909) 335-8511

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1558844977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 BROCKTON AVENUE, SUITE 511",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923731858",
            "telephone_number": "909-328-1828",
            "fax_number": "909-328-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E BROCKTON AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743611",
            "telephone_number": "909-328-1830",
            "fax_number": "909-328-1827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Brookside Ave",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923734611",
            "country_code": "US",
            "telephone_number": "909-328-1828",
            "fax_number": "909-328-1827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5887 Brockton Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925061858",
            "country_code": "US",
            "telephone_number": "951-275-8500",
            "fax_number": "951-275-8560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "RACHEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DNP, PHN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95010001",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "679977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.valant.io/io/Account/LogOn?ReturnUrl=%2fio%2fClient",
            "affiliation": "N",
            "endpointDescription": "Valant EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1030 E Brockton Ave",
            "city": "Redlands",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923743611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.