Individual provider Active NPI

Michelle Hoff

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1801336243
Registry record updated Mar 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2016034745 Issued in MO
Practice address
5300 Arsenal St
Saint Louis, MO 63139-1463
Phone
(314) 877-5728
NPI assigned
Mar 5, 2017
Last updated
Mar 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2016034745 MO Primary

Addresses

Primary practice location

5300 Arsenal St
Saint Louis, MO 63139-1463

Mailing address

10277 Bohr Rd
Mineral Point, MO 63660-9486
Phone (573) 747-6227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20171012001685 MO Practitioner - Nurse Practitioner 4486929759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Mines Health CenterGroup PAC ID 3072598143, 19 clinicians
Mineral Area Psychiatric Services LLCGroup PAC ID 3072880962, 10 clinicians

Practice addresses (Care Compare)

1 Southtowne Dr
Potosi, MO 63664-5729
Phone (573) 438-9355

203 S Washington St
Farmington, MO 63640-1836
Phone (573) 330-6468

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016034745MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Mines Health Center CurrentSince Jan 7, 2019 Accepting new patients
Mineral Area Psychiatric Services LLC CurrentSince Jan 1, 2025 Accepting new patients
Great Mines Health Center CurrentSince Jan 7, 2019 Accepting new patients
State of Missouri CurrentSince Sep 6, 2017 Accepting new patients
State of Missouri CurrentSince Sep 6, 2017 Accepting new patients
Leeker Enterprises Inc CurrentSince Oct 5, 2019 Accepting new patients

Locations

607 Teaco Rd
Kennett, MO 63857
Phone (573) 888-9828

1 Southtowne Dr
Potosi, MO 63664
Phone (573) 438-8401

5300 Arsenal St
Saint Louis, MO 63139
Phone (314) 644-8000

Organizations & group practices 6

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": "1488672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488672000000",
    "number": "1801336243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10277 BOHR RD",
            "city": "MINERAL POINT",
            "state": "MO",
            "postal_code": "636609486",
            "telephone_number": "573-747-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ARSENAL ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391463",
            "telephone_number": "314-877-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFF",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-05",
        "last_updated": "2017-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2016034745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.