Active NPI
Audrey Jean Hockeborn, PA-C
- Physician Assistant
- Charlotte, NC
National Provider Identifier
1790989713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-00997
- Practice address
- 3623 Latrobe Dr Ste 216
Charlotte, NC 28211 - Phone
- (704) 332-1291
- Fax
- (704) 332-5206
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 0010-00997 | NC | |
| Physician Assistant | 363A00000X | 0010-00997 | NC | Primary |
Addresses
Primary practice location
3623 Latrobe Dr Ste 216
Charlotte, NC 28211
Mailing address
PO Box 221249
Charlotte, NC 28222-1249
Phone (704) 332-1291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1076748 | Other | NCCPA CERTIFICATION |
Other names 1
- Ms. Audrey Jean Wolf
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6750
1901 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 316-1400
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-4056
3623 Latrobe Dr
Suite 216
Charlotte, NC 28211-2117
Phone (704) 332-1291
Hospital & facility affiliations
- Novant Health Matthews Medical Center
- Novant Health Ballantyne Medical Center
- Novant Health Presbyterian Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.03 of 100
- Quality
- 98.89
- Improvement activities
- 40
- Cost
- 72.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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.
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1295790657
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1740998020
-
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1790989713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 221249",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282221249",
"telephone_number": "704-332-1291",
"fax_number": "704-332-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3623 LATROBE DR STE 216",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28211",
"telephone_number": "704-332-1291",
"fax_number": "704-332-5206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCKEBORN",
"first_name": "AUDREY",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2023-02-03",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NC",
"license": "0010-00997",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-00997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA CERTIFICATION",
"identifier": "1076748",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AUDREY",
"last_name": "WOLF",
"middle_name": "JEAN",
"prefix": "MS.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.