Individual provider Active NPI

Carmen J Ackerson, APRN

  • Nurse Practitioner
  • Augusta, ME
National Provider Identifier
1336474774
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP141085 Issued in ME
Practice address
442 Civic Center Dr
Augusta, ME 04330-7902
Phone
(207) 624-4800
Fax
(207) 624-4801
NPI assigned
Oct 2, 2009
Last updated
Oct 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 51878-23 NH
Nurse Practitioner 363L00000X CNP141085 ME Primary

Addresses

Primary practice location

442 Civic Center Dr
Augusta, ME 04330-7902

Mailing address

442 Civic Center Dr
Augusta, ME 04330-7902
Phone (207) 624-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20150108000120 ME Practitioner - Nurse Practitioner 8820138415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

442 Civic Ctr Dr
Augusta, ME 04330-8572
Phone (207) 624-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51878-23NHMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: carmenackerson@mgh.allscriptsdirect.net

Organizations & group practices 1

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": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1336474774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 CIVIC CENTER DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307902",
            "telephone_number": "207-624-4800",
            "fax_number": "207-624-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 CIVIC CENTER DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307902",
            "telephone_number": "207-624-4800",
            "fax_number": "207-624-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERSON",
        "first_name": "CARMEN",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "51878-23",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP141085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.