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HEATHER GRACE HOFFMANN CNP
NPI 1568098184
Nurse Practitioner in Cincinnati, OH

Active since March 15, 2020PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
2123 AUBURN AVE STE 401, CINCINNATI, OH 45219(513) 241-5489(513) 241-5490 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2023, Jan 17, 2023, Apr 1, 2020 and 1 more (4 updates tracked since 2020).

About Heather Grace Hoffmann Cnp NPPES

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

HEATHER GRACE HOFFMANN CNP (NPI 1568098184) is an individual nurse practitioner in Cincinnati, Ohio, licensed in Ohio (025200) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2019).

NPPES Registry Identity

NPI1568098184
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER GRACE HOFFMANNCredential: CNP
Location Address2123 AUBURN AVE STE 401Cincinnati, OH 45219-2906
Mailing Address2123 Auburn Ave Ste 401Cincinnati, OH 45219-2906 · (513) 241-5489 · Fax (513) 241-5490
Phone(513) 241-5489
Fax(513) 241-5490
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2019
Enumeration DateMarch 15, 2020
Last NPPES UpdateJuly 18, 20234 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
✔ NPI 1568098184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · 025200
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2123 AUBURN AVE STE 401, Cincinnati, OH 45219
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Heather Grace Hoffmann Cnp 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 ID9537598925
PECOS Enrollment IDI20200406003353
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 Reassignments

3

Medicare enrollment records show Heather Hoffmann reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Christ Hospital Medical Associates, LLC
0.1 mi
Internal Medicine
2139 AUBURN AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 288 clinicians in this Medicare group
NPI 1114107919 (513) 351-9900
Trihealth H LLC
1.5 mi
Internal Medicine
375 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1659783793 (513) 862-1400
Trihealth G LLC
1.6 mi
Internal Medicine
379 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,126 clinicians in this Medicare group
NPI 1295862944 (513) 246-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
287 services211 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
180 services139 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 services28 patients
Evaluation of use of breathing device 94664
The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

Other Providers at the Same Location NPPES 5

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

KRISHNA KASHYAP GANNAMRAJ D.O.
Internal Medicine (Pulmonary Disease)
2123 AUBURN AVE STE 401
CINCINNATI, OH 45219
Hamilton County (513) 241-5489
SYDNEY SCHACHT DO
Internal Medicine (Pulmonary Disease)
2123 AUBURN AVE STE 401
CINCINNATI, OH 45219
Hamilton County (513) 241-5489
LAUREN CROSSMAN MD
Internal Medicine (Pulmonary Disease)
2123 AUBURN AVE STE 401
CINCINNATI, OH 45219
Hamilton County (513) 241-5489
MRS. DENISE A DOAN APRN
Nurse Practitioner
2123 AUBURN AVE STE 401
CINCINNATI, OH 45219
Hamilton County (513) 241-5489
NICOLE YOUNG
Nurse Practitioner (Family)
2123 AUBURN AVE STE 401
CINCINNATI, OH 45219
Hamilton County (513) 241-5489

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 Heather Hoffmann's NPI number?

The NPI number for Heather Hoffmann is 1568098184. It was assigned to this individual provider in the NPPES registry on March 15, 2020.

Where is Heather Hoffmann located?

Heather Hoffmann practices at 2123 Auburn Ave Ste 401, Cincinnati, OH 45219. The listed phone number is (513) 241-5489.

What is Heather Hoffmann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heather Hoffmann enrolled in Medicare?

Yes. Heather 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 Heather Hoffmann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Hoffmann reassigns Medicare benefits to 3 organizations: The Christ Hospital Medical Associates, LLC (Cincinnati, OH), Trihealth H LLC (Cincinnati, OH) and Trihealth G LLC (Cincinnati, OH). 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 Heather Hoffmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Hoffmann accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Heather 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 Heather Hoffmann affiliated with any hospitals?

According to CMS data, Heather Hoffmann is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Heather Hoffmann was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.