NPIMap

Individual provider Active NPI

Jennifer S. Hoffman, CNP

  • Family Nurse Practitioner
  • Baker City, OR
National Provider Identifier
1841230752
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202100030NP-PP Issued in OR
Practice address
3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone
(541) 524-8000
Fax
(541) 524-7955
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209-000531 IL
Family Nurse Practitioner 363LF0000X 202100030NP-PP OR Primary

Addresses

Primary practice location

3325 Pocahontas Rd
Baker City, OR 97814-1464

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

105 S Major St
Eureka, IL 61530-1246
Phone (309) 467-4691

Other identifiers 2

IdentifierTypeStateIssuer
05732097OtherILBC GROUP NUMBER
101038OtherILHEALTH ALLIANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408001269 OR Practitioner - Nurse Practitioner 0749233534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Medical Center Baker City IncGroup PAC ID 4981732518, shared by 3 NPIs, 15 clinicians

Practice addresses (Care Compare)

3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone (541) 524-2965

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-000531ILMDFamily Nurse Practitioner
202100030NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Medical Center Baker City, Inc CurrentSince Aug 1, 2024 Accepting new patients
Saint Alphonsus Medical Center Baker City, Inc CurrentSince Aug 1, 2024 Accepting new patients
Bromenn Healthcare, Inc. Past Accepting new patients

Locations

3325 Pocahontas Rd
Baker City, OR 97814
Phone (541) 523-1797

Interoperability endpoints

  • Direct secure messaging: jhoffman3478165@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1841230752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 POCAHONTAS RD",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141464",
            "telephone_number": "541-524-8000",
            "fax_number": "541-524-7955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S Major St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "IL",
            "postal_code": "615301246",
            "country_code": "US",
            "telephone_number": "309-467-4691",
            "fax_number": "309-467-6229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "JENNIFER",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-000531",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202100030NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP NUMBER",
            "identifier": "05732097",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "101038",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

Verify at the official NPI Registry.