JACQUELYNN MARIE HOFFMAN (APRN-CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1306490248
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for JACQUELYNN MARIE HOFFMAN (APRN-CNP)
181, Medina Road, Walnut Grove Pond, Medina, Hennepin County, Minnesota, 55391, United States
MEDINA, OH 442568182
Phone: (330) 536-3746
Fax: (330) 267-4250
Type: Mailing
220, East Washington Street, Medina Public Square Historic District, Medina, Medina County, Ohio, 44256, United States
MEDINA, OH 442563330
Phone: (330) 536-3746
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $694.
Total Amount is formed as General ($694) + Research ($0) + Ownership ($0) = $694.
Last reported payment date: 2024-04-12 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($262).
Total Amount
$694
General + Research + Ownership
Payments
21
Total payment records
General Amount
$694
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $262 |
| ACADIA Pharmaceuticals Inc | $226 |
| Teva Pharmaceuticals USA, Inc. | $68 |
| ITI, Inc. | $46 |
| ABBVIE INC. | $35 |
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: 2026-01-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190829002055 | I | Nurse Practitioner | OH | TBD |
| I20201019002818 | I | Nurse Practitioner | WV | TBD |
| I20201201002546 | I | Nurse Practitioner | PA | TBD |
| I20201228001008 | I | Nurse Practitioner | MO | TBD |
| I20250324000284 | I | Nurse Practitioner | KY | TBD |
| I20250618000129 | I | Nurse Practitioner | CO | TBD |
| I20260121003693 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 655 | 329 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 332 | 187 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 240 | 240 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 203 | 92 | $0 |
| 90785 | Psychiatric services complicated by communication factor | 144 | 144 | $0 |
Insurance plans in this area (ZIP 44256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Psychiatry, Neurology | CT | |
| Nurse Practitioner | OH |
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