Healthcare Provider Details

I. General information

NPI: 1871401125
Provider Name (Legal Business Name): RACHEL K HOFFMAN PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W3275 WOLF RIVER DR
KESHENA WI
54135-9202
US

IV. Provider business mailing address

N7455 S SCHMIDT RD
GRESHAM WI
54128-9110
US

V. Phone/Fax

Practice location:
  • Phone: 715-799-5451
  • Fax: 715-799-3929
Mailing address:
  • Phone: 715-853-6056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number240129-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: