Individual provider Active NPI

Taylor Nicole Hoffman, NP

  • Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1700604287
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71015889A Issued in IN
Practice address
14020 Old State Rd Ste C300
Evansville, IN 47725-1172
Phone
(812) 469-4755
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71015889A IN Primary

Addresses

Primary practice location

14020 Old State Rd Ste C300
Evansville, IN 47725-1172

Mailing address

14020 Old State Rd Ste C300
Evansville, IN 47725-1172

Other practice location 1

1116 Millis Ave
Boonville, IN 47601-2204
Phone (812) 897-7404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20241102000182 IN Practitioner - Nurse Practitioner 7416480199 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71015889AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC CurrentSince Dec 8, 2024 Accepting new patients
St Mary's Medical Group, LLC Nurse Practitioner CurrentSince Dec 8, 2024 Accepting new patients
St. Mary's Health, Inc Nurse Practitioner Past Accepting new patients

Locations

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

14020 Old State Rd
Ste C300
Evansville, IN 47725
Phone (812) 469-4755

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

100 St Marys Epworth Xing
Ste A100
Newburgh, IN 47630
Phone (812) 469-8160

Interoperability endpoints

  • Direct secure messaging: taylor.hoffman.1@7598.direct.athenahealth.com

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, 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": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1700604287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14020 OLD STATE RD STE C300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477251172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14020 OLD STATE RD STE C300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477251172",
            "telephone_number": "812-469-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 Millis Ave",
            "address_purpose": "LOCATION",
            "city": "Boonville",
            "state": "IN",
            "postal_code": "476012204",
            "country_code": "US",
            "telephone_number": "812-897-7404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71015889A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.