STACIE L HOFFMANN PA
NPI 1104821628
Physician Assistant - Medical in La Crosse, WI
About Stacie L Hoffmann Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACIE L HOFFMANN PA (NPI 1104821628) is an individual medical provider in La Crosse, Wisconsin, licensed in Wisconsin (1012) and active in the NPI registry since June 2005. She has opted out of Medicare through April 22, 2027.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Stacie L Hoffmann Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 22, 2025 through April 22, 2027.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
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 Stacie Hoffmann's NPI number?
The NPI number for Stacie Hoffmann is 1104821628. It was assigned to this individual provider in the NPPES registry on June 21, 2005.
Where is Stacie Hoffmann located?
Stacie Hoffmann practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Stacie Hoffmann's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Stacie Hoffmann enrolled in Medicare?
No. Stacie Hoffmann has opted out of Medicare through April 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Stacie Hoffmann accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Medica list Stacie Hoffmann 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 Stacie Hoffmann was last updated on July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Stacie L Hoffmann, PA · NPI 1104821628
Medical physician in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since June 21, 2005.
## Identity
- **NPI:** 1104821628 (Entity type: Individual)
- **Enumerated:** June 21, 2005
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 1012 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1836 SOUTH AVE, La Crosse, WI 54601-5429
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 22, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 10, 2015
- **Other identifiers:** Medicare UPIN S50683; Medicaid 42972500 (WI); Medicare PIN 0457 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1104821628) · Data from the CMS NPPES public registry.