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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
060808-21NHMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital Current
since Aug 7, 2023
Accepting new patients
Mary Hitchcock Memorial Hospital Current
since Aug 7, 2023
Accepting new patients
Dartmouth-Hitchcock Clinic Current
since Aug 7, 2023
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

  • Direct secure messaging: sackerson10616@direct.dartmouth-hitchcock.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
060808-23OtherNHNH BOARD OF NURSING

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 13, 2026.

{
    "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

All providers in Manchester, NH · Nurse Practitioner in New Hampshire

Sources for this page

Verify at the official NPI Registry.