Individual provider Active NPI

Taralyn Hoflen, PA-C

  • Physician Assistant
  • Council Bluffs, IA
National Provider Identifier
1609292101
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085020 Issued in IA
Practice address
3135 W Broadway
Council Bluffs, IA 51501-3359
Phone
(712) 328-9100
NPI assigned
Mar 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0004774 CO
Physician Assistant 363A00000X 085020 IA Primary
Physician Assistant 363A00000X 2546 NE

Addresses

Primary practice location

3135 W Broadway
Council Bluffs, IA 51501-3359

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311

Other practice location 1

4798 W Mineral Ave Apt 203
Littleton, CO 80128-2621
Phone (712) 249-3239

Other practice location 2

4220 L St
Omaha, NE 68107-1048
Phone (402) 733-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170103001166 IA Practitioner - Physician Assistant 9830470988 Reassigns benefits to 2 organizations
I20210607001092 NE Practitioner - Physician Assistant 9830470988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

16101 Evans St
Omaha, NE 68116-6447
Phone (402) 717-9700

16909 Lakeside Hills CT
Omaha, NE 68130-4661

4220 L St
Suite 100
Omaha, NE 68107-1048
Phone (402) 733-4433

5045 S 153Rd St
Omaha, NE 68137-5001
Phone (402) 717-9100

6801 Newport Ave
Omaha, NE 68152-2152
Phone (402) 572-3900

800 Mercy Dr
Council Bluffs, IA 51503-3128

8141 W Ctr
Omaha, NE 68124-3273
Phone (402) 717-3000

8248 S 96TH St
La Vista, NE 68128-3126
Phone (402) 717-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0004774COMDPhysician Assistant
085020IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Physician Assistant CurrentSince Jul 1, 2021 Accepting new patients
The Finley Hospital Current Accepting new patients
The Finley Hospital Physician Assistant CurrentSince Dec 1, 2016 Accepting new patients
Alegent Creighton Clinic CurrentSince Jul 1, 2021 Accepting new patients

Locations

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

3135 W Broadway
Council Bluffs, IA 51501
Phone (712) 242-2040

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

2771 Solution Ctr
Chicago, IL 60677

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

4220 L St
Omaha, NE 68107
Phone (402) 717-7050

Organizations & group practices 4

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.

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": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1609292101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 W BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013359",
            "telephone_number": "712-328-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4798 W Mineral Ave Apt 203",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801282621",
            "country_code": "US",
            "telephone_number": "712-249-3239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4220 L St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681071048",
            "country_code": "US",
            "telephone_number": "402-733-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFLEN",
        "first_name": "TARALYN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004774",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "085020",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.