Individual provider Active NPI

Carolyn Ashley Hoffman, APRN, NP-C

  • Family Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1659954436
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206668 Issued in OK
Practice address
1491 Health Center Pkwy
Yukon, OK 73099-6492
Phone
(405) 806-2200
Fax
(405) 806-2207
NPI assigned
Apr 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 102055 OK
Family Nurse Practitioner 363LF0000X 206668 OK Primary

Addresses

Primary practice location

1491 Health Center Pkwy
Yukon, OK 73099-6492

Mailing address

1491 Health Center Pkwy
Yukon, OK 73099-6492
Phone (405) 421-6931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20220309000634 OK Practitioner - Nurse Practitioner 8123412111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icare Center LLCGroup PAC ID 0840555777, 28 clinicians

Practice addresses (Care Compare)

21001 SE 29TH St
Harrah, OK 73045-6591
Phone (405) 391-5526

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102055OKMDRegistered Nurse
206668OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aquilo Health Company P C Dba Canadian Valley Family Care CurrentSince Jan 26, 2022 Accepting new patients
Icare Center LLC CurrentSince Nov 12, 2024 Accepting new patients
Integris Health Allset Urgent Care LLC CurrentSince Mar 23, 2024 Accepting new patients
Icare Primary & Wellness Clinic LLC Past Accepting new patients

Locations

404 W Main St
Ste 3
Davis, OK 73030

404 W Main St
Davis, OK 73030
Phone (405) 391-5526

3224 S Broadway
Ste 112
Edmond, OK 73013
Phone (405) 427-4941

21001 SE 29th St
Harrah, OK 73045
Phone (405) 391-5526

208 S Douglas Blvd
Ste C
Midwest City, OK 73130
Phone (405) 427-4946

3075 Classen Blvd
Ste 226
Norman, OK 73071

3075 Classen Blvd
Norman, OK 73071
Phone (405) 552-0155

2903 W Britton Rd
Oklahoma City, OK 73120
Phone (405) 755-8028

2903 W Britton Rd
Ste 4
Oklahoma City, OK 73120

6900 NW 122nd St
Ste 105
Oklahoma City, OK 73142
Phone (405) 427-4943

10740 S May Ave
Ste 113
Oklahoma City, OK 73170
Phone (405) 427-4942

5401 N Pennsylvania Ave
Oklahoma City, OK 73112
Phone (405) 427-4944

1491 Health Center Pkwy
Yukon, OK 73099
Phone (405) 806-2200

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.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1659954436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 HEALTH CENTER PKWY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996492",
            "telephone_number": "405-421-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 HEALTH CENTER PKWY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996492",
            "telephone_number": "405-806-2200",
            "fax_number": "405-806-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "CAROLYN",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "102055",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "206668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.