Active NPI
Mark Elmer Hoffmann, MD
- Emergency Medicine Physician
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 42509
- Practice address
- 1406 6TH Ave N
St Cloud Hospital Emergency Trauma Center
St Cloud, MN 56301 - Phone
- (320) 255-5656
- Fax
- (320) 656-7194
- NPI assigned
- Feb 27, 2006
- Last updated
- May 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 42509 | MN | Primary |
Addresses
Primary practice location
1406 6TH Ave N
St Cloud Hospital Emergency Trauma Center
St Cloud, MN 56301
Mailing address
1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone (320) 255-5657
Other practice location 1
4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435
Phone (952) 835-9880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42509 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Professional Association | Current | Accepting new patients | |
| Emergency Physicians Professional Association | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Professional Association | Current | Accepting new patients |
Locations
4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
Interoperability endpoints
- mhoffmann1325@direct.centracare.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.
-
dba Emergency Physicians, P.A.
- Emergency Medicine Physician
- Bloomington, MN
- NPI 1801871934
-
dba The Urgency Room - Golden Valley
- Urgent Care Clinic/Center
- Golden Valley, MN
- NPI 1750188488
-
dba The Urgency Room - Woodbury
- Urgent Care Clinic/Center
- Woodbury, MN
- NPI 1972734721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1770559148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 6TH AVE N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563031900",
"telephone_number": "320-255-5657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 6TH AVE N",
"address_2": "ST CLOUD HOSPITAL EMERGENCY TRAUMA CENTER",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "56301",
"telephone_number": "320-255-5656",
"fax_number": "320-656-7194"
}
],
"practiceLocations": [
{
"address_1": "4300 Marketpointe Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "MN",
"postal_code": "554355435",
"country_code": "US",
"telephone_number": "952-835-9880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFFMANN",
"first_name": "MARK",
"middle_name": "ELMER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "42509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.