Phaedra Marie Hockman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0008534 Issued in CO

Practice address

4344 Woodlands Blvd Ste 160
Castle Rock, CO 80104-2801

Phone

(303) 974-7808

NPI assigned

Aug 2, 2022

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, CO2 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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of Colorado PCGroup PAC ID 8325337330, 65 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.39 of 100Reported as apm

Quality

77.7

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

82.78 of 100Reported as group

Quality

80

Promoting interoperability

84

Improvement activities

40

Cost

75.92

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Advanced Dermatology of Colorado, PC

  • Dermatology Physician
  • Fort Collins, CO
  • NPI 1710370648
  Medicare reassignment Care Compare group
• Mountain Laurel Dermatology, PLLC

  • Dermatology Physician
  • Asheville, NC
  • NPI 1013329929
  Medicare reassignment
• Leslie R Capin MD PC

  dba Dermatology Associates of Colorado PC

  • Dermatology Physician
  • Aurora, CO
  • NPI 1619916079
  NPD (past)
• Mountain Laurel Dermatology, PLLC

  • Dermatology Physician
  • Clyde, NC
  • NPI 1700298635
  NPD (past)

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1659008548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1921",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287211921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 WOODLANDS BLVD STE 160",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042801",
            "telephone_number": "303-974-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKMAN",
        "first_name": "PHAEDRA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauryn Ashley Hill, PA-C
• Tiana Hill
• Brian Kevin Hinton
• Nhu Ho, PHARMD
• Theresa Ngoc Hoang, OD
• Stephanie Hodge, RDH
• Lisa A Hoeffner, LPC
• Ashley Hoehn, PHARM D.
• Beth Ann Hoekstra, PA-C
• Gus David Holabeck III, MA

• Physician Assistant in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.

Verify at the official NPI Registry.