Paula Marie Ackerman, MS RD CDE
Individual provider Active NPI Registered Dietitian · Munising, MI
NPI 1154592491 · NPPES record last updated Mar 14, 2008
Key facts
- NPI
- 1154592491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 800473 (MI)
- Practice address
- 1500 Sand Point Rd
Munising, MI 49862 - Phone
- (906) 387-4110
- Fax
- (906) 387-3514
- NPI assigned
- Mar 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Access Family Medicine PLLC
Practice addresses (Care Compare)
1001 M 28 E
10 Harvey Clinic
Marquette, MI 49855-9322
Phone (906) 373-9496
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050108000058 | MI | Practitioner - Registered Dietitian Or Nutrition Professional | 5890743694 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800473 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Family Medicine PLLC | Current |
Accepting new patients | |
| Munising Memorial Hospital Association | Past | Accepting new patients | |
| Munising Memorial Hospital Association | Past | Accepting new patients |
Locations
1001 M 28 E
Ste 10
Marquette, MI 49855
Phone (906) 373-9496
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 800473 | MI | Yes |
Addresses
Primary practice location
1500 Sand Point Rd
Munising, MI 49862
Mailing address
1500 Sand Point Rd
Munising, MI 49862
Phone (906) 387-4110
Other names
- Paula Marie Van Landschoot
Other providers in Munising, MI
- Noah Joseph Ackerman
- Adam Paul & April Lynne Winkler
- Thomas W. Adams
- Alger County Clerk
- Alger County Commission on Aging
- Aspen Counseling and Recovery Services, PLLC
All providers in Munising, MI · Registered Dietitian in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.