Individual provider Active NPI

Katherine Ackerman, PA-C

  • Physician Assistant
  • Milford, OH
National Provider Identifier
1285208363
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006769RX Issued in OH
Practice address
5449 Christy LN
Milford, OH 45150-2892
Phone
(513) 373-2021
NPI assigned
May 13, 2021
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.006769RX OH Primary

Addresses

Primary practice location

5449 Christy LN
Milford, OH 45150-2892

Mailing address

5449 Christy LN
Milford, OH 45150-2892
Phone (513) 373-2021

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
I20210817002374 OH Practitioner - Physician Assistant 0244635050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

27 St Lawrence Dr
Tiffin, OH 44883-8314
Phone (419) 455-8500

3900 Sunforest CT
Suite 240
Toledo, OH 43623-4481
Phone (419) 475-1600

45 St Lawrence Dr
Tiffin, OH 44883-8310
Phone (419) 455-8501

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.006769RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Aug 16, 2021 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Aug 16, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1000 E Main Cross St
Findlay, OH 45840
Phone (419) 420-0904

1000 E Main Cross St
Ste 201
Findlay, OH 45840

27 St Lawrence Dr
Ste 202
Tiffin, OH 44883
Phone (419) 447-6900

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Interoperability endpoints

  • Direct secure messaging: kackerman869242@direct.bsmhealth.org

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": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1285208363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 CHRISTY LN",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502892",
            "telephone_number": "513-373-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 CHRISTY LN",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502892",
            "telephone_number": "513-373-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006769RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.