Individual provider Active NPI

Holly Ackermann, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1003303389
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018010406 Issued in MO
Practice address
5034 Griffin Rd
Saint Louis, MO 63128-3418
Phone
(314) 843-7333
Fax
(314) 843-9946
NPI assigned
Apr 22, 2018
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2018010406 MO Primary

Addresses

Primary practice location

5034 Griffin Rd
Saint Louis, MO 63128-3418

Mailing address

PO Box 419052
Saint Louis, MO 63141-9052
Phone (314) 851-1000

Other identifiers 1

IdentifierTypeStateIssuer
2018010406OtherMOMO STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20180814004186 MO Practitioner - Nurse Practitioner 6608125281 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Multispecialty Group IncGroup PAC ID 1658365572, 118 clinicians

Practice addresses (Care Compare)

5000 Cedar Plaza Pkwy
Suite 300
Saint Louis, MO 63128-3891
Phone (636) 282-0380

5034 Griffin Rd
Saint Louis, MO 63128-3418
Phone (314) 843-7333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2018010406MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West County Rheumatology, LLC Rheumatology CurrentSince Nov 1, 2021 Accepting new patients
American Multispecialty Group Inc. Nurse Practitioner CurrentSince Mar 23, 2026 Accepting new patients
American Arthritis & Rheumatology Associates - Mo LLC Rheumatology Past Accepting new patients
Southern Illinois Internal Medicine LTD Past Accepting new patients

Locations

13100 Manchester Rd
#70
Saint Louis, MO 63131
Phone (314) 492-2323

13100 Manchester Rd
Ste 70
Saint Louis, MO 63131
Phone (314) 492-2323

13100 Manchester Rd
Ste 85
Saint Louis, MO 63131
Phone (314) 983-9898

5034 Griffin Rd
Saint Louis, MO 63128
Phone (314) 843-7333

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1524355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1003303389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419052",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631419052",
            "telephone_number": "314-851-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5034 GRIFFIN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283418",
            "telephone_number": "314-843-7333",
            "fax_number": "314-843-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMANN",
        "first_name": "HOLLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-22",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018010406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO STATE LICENSE",
            "identifier": "2018010406",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.