Individual provider Active NPI

Madeleine Jake Hoffman, PA-C

  • Physician Assistant
  • Rifle, CO
National Provider Identifier
1831703461
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007384 Issued in CO
Practice address
195 W 14TH BLDG C
Rifle, CO 81650-4717
Phone
(970) 945-2840
Fax
(970) 945-2893
NPI assigned
Sep 1, 2020
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0007384 CO Primary

Addresses

Primary practice location

195 W 14TH BLDG C
Rifle, CO 81650-4717

Mailing address

PO Box 339
Glenwood Springs, CO 81602-0339
Phone (970) 319-2691

Other names 1

  • Madeleine Jake Nieslanik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220808001285 CO Practitioner - Physician Assistant 4587046545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Family Health CentersGroup PAC ID 3173413101, 20 clinicians

Practice addresses (Care Compare)

1905 Blake Ave
Suite 101
Glenwood Springs, CO 81601-4206
Phone (970) 945-2840

195 W
14TH BLDG C
Rifle, CO 81650-4716
Phone (970) 945-2840

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Family Health Centers CurrentSince Jul 11, 2022 Accepting new patients
Mountain Family Health Centers Past Accepting new patients

Locations

1905 Blake Ave
Ste 101
Glenwood Springs, CO 81601

195 W 14th St
Ste C
Rifle, CO 81650

Interoperability endpoints

  • Direct secure messaging: madeleine.nieslanik.d1.p1@direct.mfhc.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1831703461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816020339",
            "telephone_number": "970-319-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W 14TH BLDG C",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816504717",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "MADELEINE",
        "middle_name": "JAKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELEINE",
            "last_name": "NIESLANIK",
            "middle_name": "JAKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rifle, CO

Sources for this page

Verify at the official NPI Registry.