Individual provider Active NPI

Samuel Linwood Hoffman, DNP, CRNP-BC, FNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1669831871
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015665 Issued in PA
Practice address
4516 Browns Hill Rd
Pittsburgh, PA 15217
Phone
(412) 422-7442
Fax
(412) 904-5025
NPI assigned
Feb 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN00983 RI
Family Nurse Practitioner 363LF0000X SP015665 PA Primary

Addresses

Primary practice location

4516 Browns Hill Rd
Pittsburgh, PA 15217

Mailing address

4516 Browns Hill Rd
Pittsburgh, PA 15217-2917
Phone (412) 422-7442

Other practice location 1

4516 Browns Hill Rd
Pittsburgh, PA 15217
Phone (412) 422-7442

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
I20240521001487 PA Practitioner - Nurse Practitioner 2264731629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Outreach Wellness CenterGroup PAC ID 6507186772, 43 clinicians

Practice addresses (Care Compare)

127 Anderson St
Pittsburgh, PA 15212-5803
Phone (412) 322-4151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015665PAMDFamily Nurse Practitioner
APRN00983RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Squirrel Hill Health Center CurrentSince Mar 10, 2024 Accepting new patients
Squirrel Hill Health Center CurrentSince Mar 10, 2024 Accepting new patients
Central Outreach Wellness Center Past Accepting new patients

Locations

103 Towne Square Way
Pittsburgh, PA 15227
Phone (412) 422-7442

4516 Browns Hill Rd
Pittsburgh, PA 15217
Phone (412) 422-7442

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1669831871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 BROWNS HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172917",
            "telephone_number": "412-422-7442",
            "fax_number": "412-904-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 BROWNS HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15217",
            "telephone_number": "412-422-7442",
            "fax_number": "412-904-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4516 Browns Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15217",
            "country_code": "US",
            "telephone_number": "412-422-7442",
            "fax_number": "412-904-5025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "SAMUEL",
        "middle_name": "LINWOOD",
        "credential": "DNP, CRNP-BC, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00983",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.