Stephanie Ackerson, MSN, APRN, CDCES
Individual provider Active NPI Nurse Practitioner · Manchester, NH
NPI 1477083038 · NPPES record last updated Jan 13, 2026
Key facts
- NPI
- 1477083038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 060808-23 (NH)
- Practice address
- 100 Hitchcock Way
Manchester, NH 03104-4125 - Phone
- (603) 695-2790
- Fax
- (603) 640-1228
- NPI assigned
- Jun 15, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230925002408 | NH | Practitioner - Nurse Practitioner | 5294189288 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060808-21 | NH | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current |
Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870
2300 Southwood Dr
Nashua, NH 03063
Phone (603) 577-4170
Interoperability endpoints
- sackerson10616@direct.dartmouth-hitchcock.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 060808-21 | NH | |
| Nurse Practitioner | 363L00000X | 060808-23 | NH | Yes |
Addresses
Primary practice location
100 Hitchcock Way
Manchester, NH 03104-4125
Mailing address
1 Medical Dr
Lebanon, NH 03756-1000
Other practice location 1
2300 Southwood Dr
Nashua, NH 03063-1818
Phone (603) 577-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060808-23 | Other | NH | NH BOARD OF NURSING |
NPI Registry JSON
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1477083038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HITCHCOCK WAY",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031044125",
"telephone_number": "603-695-2790",
"fax_number": "603-640-1228"
}
],
"practiceLocations": [
{
"address_1": "2300 Southwood Dr",
"address_purpose": "LOCATION",
"city": "Nashua",
"state": "NH",
"postal_code": "030631818",
"country_code": "US",
"telephone_number": "603-577-4000",
"fax_number": "603-640-1228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACKERSON",
"first_name": "STEPHANIE",
"credential": "MSN, APRN, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NH",
"license": "060808-21",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "060808-23",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH BOARD OF NURSING",
"identifier": "060808-23",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
- Marisol Acevedo Ortiz Murillo
- Delphine Acha
- Achilles Podiatry PLLC
- John Joseph Acker
- Sandra Lee Ackerman
- Debra J Acres
- Yasmin Adam
- Alexandra Adams
- Ann-Marie Adams
- Kiernan Michael Adams
All providers in Manchester, NH · Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2026. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.