JACLYN C HOFFMAN DNP, FNP
NPI 1427667765
Nurse Practitioner - Family in Shaw Afb, SC
About Jaclyn C Hoffman Dnp, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN C HOFFMAN DNP, FNP (NPI 1427667765) is an individual family provider in Shaw Afb, South Carolina, licensed in Utah (9284135-4405) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaclyn C Hoffman Dnp, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaclyn Hoffman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Jordan, UT 84095
- Reassigned Medicare billing, Utah enrollment
- 17 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 29152 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SHAW A F B, SC 29152
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 Jaclyn Hoffman's NPI number?
The NPI number for Jaclyn Hoffman is 1427667765. It was assigned to this individual provider in the NPPES registry on July 22, 2020.
Where is Jaclyn Hoffman located?
Jaclyn Hoffman practices at 431 Meadowlark St, Shaw Afb, SC 29152. The listed phone number is (803) 895-2273.
What is Jaclyn Hoffman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaclyn Hoffman enrolled in Medicare?
Yes. Jaclyn Hoffman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaclyn Hoffman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Hoffman reassigns Medicare benefits to Copperview Medical Center, LLC (South Jordan, UT). 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 Jaclyn Hoffman'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 Jaclyn Hoffman was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jaclyn C Hoffman, DNP, FNP · NPI 1427667765
Family physician in Shaw Afb, South Carolina. Individual provider, active in the CMS NPPES registry since July 22, 2020.
## Identity
- **NPI:** 1427667765 (Entity type: Individual)
- **Enumerated:** July 22, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9284135-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 431 MEADOWLARK ST, Shaw Afb, SC 29152-5019
- **Phone:** (803) 895-2273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Copperview Medical Center, LLC (NPI 1316970924, South Jordan, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1427667765) · Data from the CMS NPPES public registry.