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PAULA J HOFFMAN APRN
NPI 1275016560
Nurse Practitioner - Family in Flat Rock, NC

Active since September 12, 2018PECOS Enrolled
77.26/100
CMS Quality Rating
571 S ALLEN RD, FLAT ROCK, NC 28731(828) 692-6178(828) 692-2365 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2019, Sep 12, 2018 (2 updates tracked since 2018).

About Paula J Hoffman Aprn NPPES

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

PAULA J HOFFMAN APRN (NPI 1275016560) is an individual family provider in Flat Rock, North Carolina, licensed in North Carolina (5021408) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1275016560
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAULA J HOFFMANCredential: APRN
Location Address571 S ALLEN RDFlat Rock, NC 28731-9447
Mailing Address571 S Allen RdFlat Rock, NC 28731-9447 · (828) 692-6178
Phone(828) 692-6178
Fax(828) 692-2365
Sole ProprietorNo
Enumeration DateSeptember 12, 2018
Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1275016560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NC · 5021408✔ Licensed in FL · APRN2888342
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2888342 (FL), 5021408 (NC)
571 S ALLEN RD, Flat Rock, NC 28731
Open in Google Maps ↗

Secondary Practice Location 1

Location 14266 Sunbeam RdJacksonville, FL 32257-2425 · Phone (904) 268-5200

Other Identifiers 1

Other2888342FL · Florida Department Of Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paula J Hoffman Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
239 services167 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
115 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
107 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28731 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.65
Improvement Activities40
Cost66.37

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.

DANIELL MILLER GOLD
Nurse Practitioner
571 S ALLEN RD
FLAT ROCK, NC 28731
Henderson County (828) 692-6178
MR. DENNIS CLARK KABASAN MD
Internal Medicine
571 S ALLEN RD
FLAT ROCK, NC 28731
Henderson County (828) 692-6178
KELLY LYNN PEARSON FNP
Nurse Practitioner (Family)
571 S ALLEN RD
FLAT ROCK, NC 28731
Henderson County (828) 692-6178
KRISTAN LEEANN JOHNSON NP-C
Nurse Practitioner (Family)
571 S ALLEN RD
FLAT ROCK, NC 28731
Henderson County (828) 692-6178
MITESHBHAI J RAVAL NP
Nurse Practitioner (Family)
571 S ALLEN RD
FLAT ROCK, NC 28731
Henderson County (828) 692-6178
STACIE LYNN CASCIO FNP
Nurse Practitioner (Family)
571 S ALLEN RD
FLAT ROCK, NC 28731
Henderson County (828) 692-6178
JAIME FOYLE LCSW
Social Worker
571 S ALLEN RD
FLAT ROCK, NC 28731
Henderson County (828) 692-6178
JOELLE WICKER FALCON NP
Nurse Practitioner
571 S ALLEN RD
FLAT ROCK, NC 28731
Henderson County (828) 692-6178

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 Paula Hoffman's NPI number?

The NPI number for Paula Hoffman is 1275016560. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Where is Paula Hoffman located?

Paula Hoffman practices at 571 S Allen Rd, Flat Rock, NC 28731. The listed phone number is (828) 692-6178.

What is Paula Hoffman's specialty?

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

Is Paula Hoffman enrolled in Medicare?

Yes. Paula Hoffman is registered in the Medicare PECOS enrollment system.

What insurance does Paula Hoffman accept?

Health plans from Blue Cross and Blue Shield of NC list Paula 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 Paula Hoffman was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.