Active NPI
Gretchen Hoffman, M.S., CCC-SLP
- Speech-Language Pathologist
- Menomonee Falls, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4031-154
- Practice address
- N84W16889 Menomonee Ave
Menomonee Falls, WI 53051-2810 - Phone
- (262) 250-1870
- NPI assigned
- May 20, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4031-154 | WI | Primary |
Addresses
Primary practice location
N84W16889 Menomonee Ave
Menomonee Falls, WI 53051-2810
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100296924 | Medicaid | WI | |
| 14059477 | Other | WI | ASHA LICENSE NUMBER |
| 4031-154 | Other | WI | STATE SPEECH THERAPY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EPIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241203000404 | WI | Practitioner - Qualified Speech Language Pathologist | 2860927688 |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Chicago, IL 60673
PO Box
Suite 735044
Chicago, IL 60673-5044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4031 | WI | MD | Endodontist |
| 4031-154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Advanced Healthcare, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Lakeshore Medical Clinic LTD | Current | Accepting new patients | |
| Lakeshore Medical Clinic, LLC | Current | Accepting new patients |
Locations
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
N84W16889 Menomonee Ave
Menomonee Fls, WI 53051
Phone (262) 251-7500
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
4448 W Loomis Rd
Milwaukee, WI 53220
Phone (414) 281-5150
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747
200 E Ryan Rd
Oak Creek, WI 53154
Phone (414) 570-3590
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1902471121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N84W16889 MENOMONEE AVE",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530512810",
"telephone_number": "262-250-1870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "GRETCHEN",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-20",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "4031-154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100296924",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA LICENSE NUMBER",
"identifier": "14059477",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE SPEECH THERAPY LICENSE",
"identifier": "4031-154",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "EPIC",
"affiliation": "N",
"endpointDescription": "Electronic medical record system",
"address_1": "N84W16889 Menomonee Ave",
"city": "Menomonee Falls",
"state": "WI",
"country_code": "US",
"postal_code": "530512810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.