Individual provider Active NPI

Ali Acker, APRN

  • Nurse Practitioner
  • Olmsted TWP, OH
National Provider Identifier
1174076962
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
019477 Issued in OH
Practice address
9017 Moss Pointe Cir
Olmsted TWP, OH 44138-8167
Phone
(330) 553-4278
NPI assigned
Jul 27, 2016
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 373054 OH
Gerontology Nurse Practitioner 363LG0600X 019477 OH
Nurse Practitioner 363L00000X 019477 OH Primary

Addresses

Primary practice location

9017 Moss Pointe Cir
Olmsted TWP, OH 44138-8167

Mailing address

9017 Moss Pointe Cir
Olmsted TWP, OH 44138-8167
Phone (330) 553-4278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161101000619 OH Practitioner - Nurse Practitioner 1355629049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santibanez Pac Ohio IncGroup PAC ID 7416391545, 36 clinicians

Practice addresses (Care Compare)

275 E Sunset Dr
Rittman, OH 44270-1165
Phone (330) 927-2060

540 Great Oaks TRL
Wadsworth, OH 44281-8799
Phone (330) 336-1141

Merit-based Incentive Payment System (MIPS)

Final score
97.19 of 100Reported as group
Quality
95
Promoting interoperability
98
Improvement activities
40
Cost
80.65

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
373054OHMDRegistered Nurse
019477OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santibanez Pac Ohio Inc Nurse Practitioner CurrentSince Jun 2, 2025 Accepting new patients
University Hospitals Regional Practices LLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

15976 E High St
Ste 100
Middlefield, OH 44062
Phone (440) 632-0770

275 E Sunset Dr
Rittman, OH 44270
Phone (330) 927-2060

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1174076962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 MOSS POINTE CIR",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441388167",
            "telephone_number": "330-553-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 MOSS POINTE CIR",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441388167",
            "telephone_number": "330-553-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKER",
        "first_name": "ALI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "373054",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "019477",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "019477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olmsted TWP, OH

Sources for this page

Verify at the official NPI Registry.