WHITNEY A HOFFMANN
NPI 1497694657
Nurse Practitioner in Waupaca, WI
About Whitney A Hoffmann NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITNEY A HOFFMANN (NPI 1497694657) is an individual nurse practitioner in Waupaca, Wisconsin, licensed in Wisconsin (18219) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
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
Whitney A Hoffmann 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.
Medicare Billing Reassignments
2Medicare enrollment records show Whitney Hoffmann reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waupaca, WI 54981
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1013995521 (Wisconsin)
- 110 clinicians in this Medicare group
New London, WI 54961
- Reassigned Medicare billing, Wisconsin enrollment
- 988 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thedacare Regional Medical Center - Appleton Inc
Acute Care Hospitals · Appleton, WIThedacare Medical Center-Waupaca
Critical Access Hospitals · Waupaca, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54981 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.
WAUPACA, WI 54981
WAUPACA, WI 54981
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 Whitney Hoffmann's NPI number?
The NPI number for Whitney Hoffmann is 1497694657. It was assigned to this individual provider in the NPPES registry on March 25, 2026.
Where is Whitney Hoffmann located?
Whitney Hoffmann practices at 800 Riverside Dr, Waupaca, WI 54981. The listed phone number is (920) 830-5900.
What is Whitney Hoffmann's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Whitney Hoffmann enrolled in Medicare?
Yes. Whitney Hoffmann 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 organizations bill Medicare for Whitney Hoffmann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Whitney Hoffmann reassigns Medicare benefits to 2 organizations: Thedacare Medical Center - Waupaca, Inc. (Waupaca, WI) and Thedacare, Incorporated (New London, WI). Each 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 Whitney Hoffmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Whitney Hoffmann accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Whitney 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.
Is Whitney Hoffmann affiliated with any hospitals?
According to CMS data, Whitney Hoffmann is affiliated with Thedacare Regional Medical Center - Appleton Inc and Thedacare Medical Center-Waupaca.
When was this NPI record last updated?
The NPPES record for Whitney Hoffmann was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Whitney A Hoffmann · NPI 1497694657
Nurse Practitioner physician in Waupaca, Wisconsin. Individual provider, active in the CMS NPPES registry since March 25, 2026.
## Identity
- **NPI:** 1497694657 (Entity type: Individual)
- **Enumerated:** March 25, 2026
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 18219 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 RIVERSIDE DR, Waupaca, WI 54981-1943
- **Phone:** (920) 830-5900 · **Fax:** (920) 830-5910
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Thedacare Medical Center - Waupaca, Inc. (NPI 1780782680, Waupaca, WI); Thedacare, Incorporated (NPI 1376656959, New London, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** April 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1497694657) · Data from the CMS NPPES public registry.