MRS. JACQUELINE RAE HOFMEISTER (AGPCNP-C) – Adult Health Nurse Practitioner, NPI 1174944680

MRS. JACQUELINE RAE HOFMEISTER (AGPCNP-C) is a healthcare provider. based in Bedford, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-C. They hold a License No. 338800 (OH). The NPI Number for MRS. JACQUELINE RAE HOFMEISTER (AGPCNP-C) is 1174944680

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JACQUELINE RAE HOFMEISTER (AGPCNP-C)
NPI
1174944680
Phone
(440) 735-3800
Address
44 BLAINE AVE
Enumeration Date
31 December 2013
Last Update Date
18 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3309263313
Graduation Year
2013 (13 years ago)
PAC ID
4981929940
Group Practice PAC ID
0840342366
Professional Enrollment ID
I20150213001819
Address ID
OH442241069CU231XXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. JACQUELINE RAE HOFMEISTER (AGPCNP-C)

  • 44 BLAINE AVE

    BEDFORD, OH 441462709

    Phone: (440) 735-3800

    Type: Location

  • 1365 ATTERBURY DR

    MACEDONIA, OH 440562431

    Phone: (330) 468-5196

    Type: Mailing

  • 20000 HARVARD AVE STE 1002

    WARRENSVILLE HEIGHTS, OH 441226805

    Phone: (216) 991-2600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $178.

Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Silk Road Medical, Inc. ($49).

Total Amount

$178

General + Research + Ownership

Payments

8

Total payment records

General Amount

$178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150213001819INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3529$0
99213Established patient office or other outpatient visit, 20-29 minutes3424$0
View full utilization report →

Insurance plans in this area (ZIP 44146)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840342366View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Nurse PractitionerOH
Cardiovascular Disease (Cardiology)OH
Diagnostic Radiology, Interventional RadiologyOH
Internal Medicine, GastroenterologyOH
Nurse PractitionerOH
Diagnostic RadiologyOH
Emergency MedicineOH
Physician AssistantOH

Reviews

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Frequently asked questions

How is MRS. JACQUELINE RAE HOFMEISTER (AGPCNP-C) identified in CMS data?
CMS-hosted NPPES data lists MRS. JACQUELINE RAE HOFMEISTER (AGPCNP-C) with NPI 1174944680.
Is MRS. JACQUELINE RAE HOFMEISTER (AGPCNP-C) listed as active for patients and plans?
The listing shows MRS. JACQUELINE RAE HOFMEISTER (AGPCNP-C) as active in the NPI system.
What is MRS. JACQUELINE RAE HOFMEISTER (AGPCNP-C) best known for clinically?
Directory data describes MRS. JACQUELINE RAE HOFMEISTER (AGPCNP-C) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. JACQUELINE RAE HOFMEISTER (AGPCNP-C) based?
MRS. JACQUELINE RAE HOFMEISTER (AGPCNP-C) is tied to Bedford, Ohio in the data we show; additional addresses may exist on the full record.
Is the information about MRS. JACQUELINE RAE HOFMEISTER (AGPCNP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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