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DARLENE HOFFMAN FNP
NPI 1194786913
Nurse Practitioner - Family in Troy, NY

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
1401 MASSACHUSETTS AVE, TROY, NY 12180(518) 268-5242(518) 268-5480 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Darlene Hoffman Fnp NPPES

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

DARLENE HOFFMAN FNP (NPI 1194786913) is an individual family provider in Troy, New York, licensed in New York (331979) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1194786913
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDARLENE HOFFMANCredential: FNP
Location Address1401 MASSACHUSETTS AVETroy, NY 12180-1621
Mailing AddressPo Box 689Troy, NY 12181-0689 · (518) 268-5000
Phone(518) 268-5242
Fax(518) 268-5480
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 31, 2006
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1194786913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 331979
1401 MASSACHUSETTS AVE, Troy, NY 12180
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Other Identifiers 1

Medicaid02050475NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Darlene Hoffman Fnp 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 ID8729102066
PECOS Enrollment IDI20100824000471
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
147 services96 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
75 services75 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12180 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers23 claims44 services$5.93 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$34.69 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$14.13 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$14.43 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$191.84 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$205.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ERICKA MAE MATZEN FNP
Nurse Practitioner (Family)
1401 MASSACHUSETTS AVE
TROY, NY 12180
Rensselaer County (518) 268-6265
CHARLES M SULZMAN MD
Internal Medicine
1401 MASSACHUSETTS AVE
TROY, NY 12180
Rensselaer County (518) 268-5242
JESSICA MARINO MD
Family Medicine
1401 MASSACHUSETTS AVE
TROY, NY 12180
Rensselaer County (518) 268-5242
COURTNEY MARIE FALCONER NP
Nurse Practitioner (Adult Health)
1401 MASSACHUSETTS AVE, TROY INTERNAL MEDICINE
TROY, NY 12180
Rensselaer County (518) 268-5242
DR. PETER R MAGGIORE MD
Internal Medicine
1401 MASSACHUSETTS AVE
TROY, NY 12180
Rensselaer County (518) 268-5242
KRISTEN ANNE SANTOS DO
Internal Medicine
1401 MASSACHUSETTS AVE
TROY, NY 12180
Rensselaer County (518) 268-5242
ST. MARY'S WOODLAND VILLAGE
Home Health
1401 MASSACHUSETTS AVE
TROY, NY 12180
Rensselaer County (518) 268-6263
ELIZABETH LOCCISANO FNP
Nurse Practitioner (Family)
1401 MASSACHUSETTS AVE
TROY, NY 12180
Rensselaer County (518) 268-5242

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 Darlene Hoffman's NPI number?

The NPI number for Darlene Hoffman is 1194786913. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Darlene Hoffman located?

Darlene Hoffman practices at 1401 Massachusetts Ave, Troy, NY 12180. The listed phone number is (518) 268-5242.

What is Darlene Hoffman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Darlene Hoffman enrolled in Medicare?

Yes. Darlene 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.

Is Darlene Hoffman affiliated with any hospitals?

According to CMS data, Darlene Hoffman is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Darlene Hoffman was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.