MEDICARE: SARAH GRACE HOFFMASTER DNP, CRN,P PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	SP017643	PA
2	2084P0805X	Geriatric Psychiatry Physician	SP017643	PA
3	2084P0800X	Psychiatry Physician	SP017643	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568984532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH GRACE HOFFMASTER DNP, CRN,P PMHNP-BC

Provider Business Mailing Address
First Line	:	582 FLAUGHERTY RUN RD
Second Line	:
City	:	MOON TOWNSHIP
State	:	PA
Zip	:	15108-8900
Country	:	US
Telephone Number	:	412-604-0329
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 BRODHEAD RD STE 2
Second Line	:
City	:	MOON TOWNSHIP
State	:	PA
Zip	:	15108-2322
Country	:	US
Telephone Number	:	412-339-1782
Fax Number	:	412-754-3088

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2017
Last Update Date	:	12/09/2025

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