Individual provider Active NPI

Jenny Marie Hoffman, CRNP

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1942906680
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC004948 Issued in MD
Practice address
300 Ballenger Center Dr # 4650
Frederick, MD 21703-7096
Phone
(301) 682-7213
NPI assigned
Feb 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC004948 MD Primary

Addresses

Primary practice location

300 Ballenger Center Dr # 4650
Frederick, MD 21703-7096

Mailing address

300 Ballenger Center Dr # 4650
Frederick, MD 21703-7096
Phone (301) 682-7213

Other practice location 1

9721 Huntmaster Rd
Gaithersburg, MD 20882-1333
Phone (267) 243-2386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230425001610 MD Practitioner - Nurse Practitioner 0042675175 Reassigns benefits to 1 organization
I20230425002237 DC Practitioner - Nurse Practitioner 0042675175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.37 of 100Reported as group
Quality
74
Improvement activities
40
Cost
72.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC004948MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apostle Group LLC CurrentSince Jan 1, 2025 Accepting new patients
Varahe Health Services LLC CurrentSince Aug 1, 2024 Accepting new patients
Kinetic Medical Group Family CurrentSince Dec 17, 2023 Accepting new patients
Apostle Group LLC CurrentSince Jan 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Maryland CVS Pharmacy, L.L.C. PastSince Feb 19, 2023 Accepting new patients
South Carolina CVS Pharmacy LLC PastSince Feb 19, 2023 Accepting new patients

Locations

141 S Main St
Boonsboro, MD 21713
Phone (301) 432-5457

19401 Walter Johnson Rd
Ste 200
Germantown, MD 20874
Phone (240) 335-2247

303 Adclare Rd
Rockville, MD 20850
Phone (301) 279-9000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1942906680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BALLENGER CENTER DR # 4650",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037096",
            "telephone_number": "301-682-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BALLENGER CENTER DR # 4650",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037096",
            "telephone_number": "301-682-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9721 Huntmaster Rd",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208821333",
            "country_code": "US",
            "telephone_number": "267-243-2386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "JENNY",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC004948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.