Individual provider Active NPI

Ashley Hoffman, PA-C

  • Medical Physician Assistant
  • Westfield, MA
National Provider Identifier
1770855256
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA4336 Issued in MA
Practice address
395 Southampton Rd
Westfield, MA 01085-1324
Phone
(413) 533-2900
Fax
(413) 568-4634
NPI assigned
Jan 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA4336 MA Primary

Addresses

Primary practice location

395 Southampton Rd
Westfield, MA 01085-1324

Mailing address

395 Southampton Rd
Westfield, MA 01085-1324
Phone (413) 533-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20120516000710 MA Practitioner - Physician Assistant 3870756505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology of Brookline LLCGroup PAC ID 5890028070, 6 clinicians

Practice addresses (Care Compare)

1101 Beacon St
Brookline, MA 02446-5587
Phone (617) 731-2390

28 Andover St
Suite 235
Andover, MA 01810-4888
Phone (978) 475-9230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6557CTMDPharmacist
PA4336MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince Jul 23, 2016 Accepting new patients
Mwa, PC Past Accepting new patients

Locations

200 Silver St
Unit 106
Agawam, MA 01001
Phone (413) 341-5350

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

395 Southampton Rd
Westfield, MA 01085
Phone (413) 485-4661

395 Southampton Rd
Ste 100
Westfield, MA 01085
Phone (413) 485-4661

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": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1770855256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 SOUTHAMPTON RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851324",
            "telephone_number": "413-533-2900",
            "fax_number": "413-568-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 SOUTHAMPTON RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851324",
            "telephone_number": "413-533-2900",
            "fax_number": "413-568-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-31",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA4336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

Verify at the official NPI Registry.