NPIMap

Individual provider Active NPI

Debra J Hoffman, FNP

  • Family Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1750575494
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19644 Issued in CO
Practice address
1400 S Potomac St Ste 190
Aurora, CO 80012-4514
Phone
(720) 979-0836
Fax
(303) 369-1919
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19644 CO Primary

Addresses

Primary practice location

1400 S Potomac St Ste 190
Aurora, CO 80012-4514

Mailing address

4900 S Monaco St
Suite 210
Denver, CO 80237-3486
Phone (720) 979-0836

Other identifiers 1

IdentifierTypeStateIssuer
72789344MedicaidCO

Other names 1

  • Debra Dickau Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080207000253 CO Practitioner - Nurse Practitioner 1254414790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Healthone Clinic Services - Primary Care LLCGroup PAC ID 7012804446, 45 clinicians

Practice addresses (Care Compare)

10470 S Progress Way
Unit 104
Parker, CO 80134-4037
Phone (303) 617-4700

14000 E Arapahoe Rd
Suite 380
Centennial, CO 80112-4045
Phone (303) 226-6180

4809 Argonne St
Denver, CO 80249-6834
Phone (303) 563-2784

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Primary Care LLC CurrentSince Jan 28, 2013 Accepting new patients

Locations

1400 S Potomac St
Ste 190
Aurora, CO 80012
Phone (303) 369-4932

14000 E Arapahoe Rd
Ste 380
Centennial, CO 80112
Phone (303) 226-6180

4900 S Monaco St
Ste 210
Denver, CO 80237

4809 Argonne St
Denver, CO 80249
Phone (303) 563-2784

Interoperability endpoints

  • Direct secure messaging: debra.hoffman@hca3.eclinicaldirectplus.com

Organizations & group practices 1

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1750575494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "720-979-0836",
            "fax_number": "303-369-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S POTOMAC ST STE 190",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124514",
            "telephone_number": "720-979-0836",
            "fax_number": "303-369-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "DEBRA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "19644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72789344",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "DICKAU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.