JAMES A HOPPNER LCSW
NPI 1174168439
Social Worker - Clinical in Staten Island, NY

Active since November 11, 2019PECOS EnrolledAccepts Medicare Assignment
1110 SOUTH AVE STE 404, STATEN ISLAND, NY 10314(800) 277-4680 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2026, Nov 11, 2019 (2 updates tracked since 2019).

About James A Hoppner Lcsw NPPES

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

JAMES A HOPPNER LCSW (NPI 1174168439) is an individual clinical provider in Staten Island, New York, licensed in New York (103732) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1174168439
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAMES A HOPPNERCredential: LCSW
Location Address1110 SOUTH AVE STE 404Staten Island, NY 10314-3411
Mailing Address1115 Pennan Ln Unit 1023Myrtle Beach, SC 29579-3848 · (631) 374-3675
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 11, 2019
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1174168439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 103732
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1110 SOUTH AVE STE 404, Staten Island, NY 10314

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

James A Hoppner Lcsw 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 ID9234699158
PECOS Enrollment IDI20260901000185
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 Reassignment

Medicare enrollment records show James Hoppner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
201 S BISCAYNE BLVD STE 2867
Miami, FL 33131
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Sailor Health Medical Of New York PC
  • 35 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10314 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
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 9

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

Social Worker
1110 SOUTH AVE STE 404
STATEN ISLAND, NY 10314
Social Worker (Clinical)
1110 SOUTH AVE STE 404
STATEN ISLAND, NY 10314
Social Worker
1110 SOUTH AVE STE 404
STATEN ISLAND, NY 10314
Social Worker
1110 SOUTH AVE STE 404
STATEN ISLAND, NY 10314
Psychologist (Clinical)
1110 SOUTH AVE STE 404
STATEN ISLAND, NY 10314
Social Worker (Clinical)
1110 SOUTH AVE STE 404
STATEN ISLAND, NY 10314
Social Worker
1110 SOUTH AVE STE 404
STATEN ISLAND, NY 10314
Counselor (Mental Health)
1110 SOUTH AVE STE 404
STATEN ISLAND, NY 10314

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 James Hoppner's NPI number?

The NPI number for James Hoppner is 1174168439. It was assigned to this individual provider in the NPPES registry on November 11, 2019.

Where is James Hoppner located?

James Hoppner practices at 1110 South Ave Ste 404, Staten Island, NY 10314. The listed phone number is (800) 277-4680.

What is James Hoppner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is James Hoppner enrolled in Medicare?

Yes. James Hoppner 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 organization bills Medicare for James Hoppner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Hoppner reassigns Medicare benefits to Sailor Health Medical Of New York, P.C. (Miami, FL). The 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 James Hoppner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Hoppner was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.