BARBARA LYNNETTE HOFFMAN FNP-BC
NPI 1043656721
Nurse Practitioner - Psychiatric/Mental Health in Wilkes Barre, PA

Active since May 21, 2013PECOS EnrolledAccepts Medicare Assignment
169 N PENNSYLVANIA AVE, WILKES BARRE, PA 18701(570) 491-0126(570) 230-0013 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2024, Feb 25, 2020, Oct 24, 2018 (3 updates tracked since 2018).

About Barbara Lynnette Hoffman Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BARBARA LYNNETTE HOFFMAN FNP-BC (NPI 1043656721) is an individual psychiatric/mental health provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (SP012877) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1043656721
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBARBARA LYNNETTE HOFFMANCredential: FNP-BC
Location Address169 N PENNSYLVANIA AVEWilkes Barre, PA 18701-3603
Mailing Address169 N Pennsylvania AveWilkes Barre, PA 18701-3603 · (570) 491-0126 · Fax (570) 230-0013
Fax(570) 230-0013
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 21, 2013
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1043656721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP012877
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP012877 (PA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP012877 (PA)
169 N PENNSYLVANIA AVE, Wilkes Barre, PA 18701

Secondary Practice Locations 2

Location 1110 S Pennsylvania AveWilkes Barre, PA 18701-3301 · Phone (570) 552-6000
Location 2575 N River StWilkes Barre, PA 18764-3603 · Phone (570) 552-1003

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Barbara Lynnette Hoffman Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082856083
PECOS Enrollment IDI20130803000020
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Barbara Hoffman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
575 N RIVER ST
Wilkes Barre, PA 18764
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 111 clinicians in this Medicare group
Psychiatry
5 PETHICK DR STE 1
Wilkes Barre, PA 18702
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group
Internal Medicine
329 CHERRY ST
Scranton, PA 18505
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 91 clinicians in this Medicare group
Clinic/Center
1700 W 22ND ST
Hazle Township, PA 18202
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services29 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Nurse Practitioner (Family)
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Community Health Worker
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Pediatrics
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Internal Medicine
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Family Medicine
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Pharmacist
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Dentist
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Barbara Hoffman's NPI number?

The NPI number for Barbara Hoffman is 1043656721. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Barbara Hoffman located?

Barbara Hoffman practices at 169 N Pennsylvania Ave, Wilkes Barre, PA 18701. The listed phone number is (570) 491-0126.

What is Barbara Hoffman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Barbara Hoffman enrolled in Medicare?

Yes. Barbara Hoffman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Barbara Hoffman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Hoffman reassigns Medicare benefits to 4 organizations: Pennsylvania Physician Services, LLC (Wilkes Barre, PA), Valley Counseling Services LLC (Wilkes Barre, PA), The Wright Center Medical Group (Scranton, PA) and Northeast Counseling Services (Hazle Township, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Barbara Hoffman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barbara Hoffman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Oscar Health and Oscar Insurance Company list Barbara Hoffman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Barbara Hoffman was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.