Individual provider Active NPI

Erin Ackerman

  • Psychiatric/Mental Health Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1588211643
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.025307 Issued in OH
Practice address
820 S Martin Luther King Jr Blvd
Hamilton, OH 45011-3216
Phone
(513) 887-8500
Fax
(513) 737-8196
NPI assigned
Aug 23, 2019
Last updated
May 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.025307 OH Primary

Addresses

Primary practice location

820 S Martin Luther King Jr Blvd
Hamilton, OH 45011-3216

Mailing address

230 Ludlow St
Hamilton, OH 45011-2903

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
I20190912002015 OH Practitioner - Nurse Practitioner 3375872500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

820 S Martin Luther King Jr Blvd
Hamilton, OH 45011-3216
Phone (513) 887-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025307OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Behavioral Health, Inc. CurrentSince Sep 30, 2019 Accepting new patients
Community Behavioral Health Inc. CurrentSince Sep 30, 2019 Accepting new patients

Locations

1900 Fairgrove Ave
Hamilton, OH 45011
Phone (513) 785-4895

230 Ludlow St
Hamilton, OH 45011
Phone (513) 785-4899

442 S 2nd St
Hamilton, OH 45011
Phone (513) 868-4280

820 S Martin Luther King Jr Blvd
Hamilton, OH 45011
Phone (513) 887-8500

820 S Martin Luther King Jr Blvd
#J
Hamilton, OH 45011
Phone (513) 887-8500

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1588211643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LUDLOW ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MARTIN LUTHER KING JR BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113216",
            "telephone_number": "513-887-8500",
            "fax_number": "513-737-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.025307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.