Jessica Jung Ackerman, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN1232 Issued in HI

Practice address

277 Ohua Ave
Honolulu, HI 96815-6612

Phone

(808) 922-4787

NPI assigned

Jan 21, 2010

Last updated

Jan 21, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
• Home Health Honolulu Home health agency, Honolulu, HI, CCN 127025
• Bristol Hospice - Hawaii, LLC Hospice, Honolulu, HI, CCN 121508

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• HI PPO
• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Queens University Medical Group

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1891441382
  Medicare reassignment Care Compare group NPD
• The Queen's Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1487693586
  Medicare reassignment NPD
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  NPD
• Waikiki Health

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1528359791
  NPD (past)
• Waikiki Health

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1679646509
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• B. C. P., Inc.

  dba BAYADA Home Health Care, Inc.

  • Home Health Agency
  • Honolulu, HI
  • NPI 1306105176
  Care Compare affiliation
• B.C.P., Inc.

  dba BAYADA Home Health Care

  • Home Health Agency
  • Honolulu, HI
  • NPI 1225478605
  Care Compare affiliation
• Bristol Hospice - Hawaii, LLC

  dba Bristol Healthcare Services

  • Community Based Hospice Care Agency
  • Honolulu, HI
  • NPI 1811045594
  Care Compare affiliation
• Prime Care Services Hawaii Inc

  • Home Health Agency
  • Honolulu, HI
  • NPI 1730176488
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1003147687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7219 OPAEKAA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968252732",
            "telephone_number": "808-282-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 OHUA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968156612",
            "telephone_number": "808-922-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "JESSICA",
        "middle_name": "JUNG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN1232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ferrer Achaval, PSY.D.
• Achieving Stars Hi LLC (Achieving Stars Therapy)
• Khwanhatai Achuka, LCSW
• Roman Anthony S. Acierto, D.O.
• Carina Mae Acio
• Mary Jill Ackerman, LAC
• Marvin Wilson Acklin, PH.D.
• Peter E Ackman, FCLSA
• Crystalynne Acoba
• Jared David Acoba, M.D.

• Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.