Provider Demographics
NPI:1619954310
Name:HOFFMANN, ANISSA (PA-C)
Entity type:Individual
Prefix:
First Name:ANISSA
Middle Name:
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2651 HILLCREST DRIVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-4439
Mailing Address - Country:US
Mailing Address - Phone:715-531-6800
Mailing Address - Fax:715-531-6801
Practice Address - Street 1:2651 HILLCREST DRIVE
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-4439
Practice Address - Country:US
Practice Address - Phone:715-531-6800
Practice Address - Fax:715-531-6801
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8549363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA041OtherCHAMPUS
MNMH9041022118OtherPREFERREDONE
MN20102OtherSIOUX VALLEY
MN124311Medicaid
IA984120Medicaid
MNHP50094OtherHEALTHPARTNERS
MN16615400Medicaid
MN16D17OLOtherBLUE CROSS
MN16D17OLOtherBLUE PLUS
MN544275OtherARAZ
MN01-13063OtherMEDICA
IA17726OtherBLUE CROSS
MN20102OtherSIOUX VALLEY
MN16D17OLOtherBLUE CROSS
IA984120Medicaid