Active NPI
Patrick Ackah
- Registered Nurse
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R203485
- Practice address
- 13833 Emerson Dr
Hagerstown, MD 21742-5322 - Phone
- (240) 550-5651
- NPI assigned
- Dec 14, 2024
- Last updated
- Dec 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2024064132 | MD | |
| Registered Nurse | 163W00000X | R203485 | MD | Primary |
Addresses
Primary practice location
13833 Emerson Dr
Hagerstown, MD 21742-5322
Mailing address
13833 Emerson Dr
Hagerstown, MD 21742-5322
Phone (240) 550-5651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
202 Foxcroft Ave
Martinsburg, WV 25401-5312
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R203485 | MD | MD | Registered Nurse |
| 2024064132 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Valley Family Medicine and Urgent Care | Current | Accepting new patients | |
| Quickcare Virtual Clinic LLC | Current | Accepting new patients |
Locations
202 Foxcroft Ave
Martinsburg, WV 25401
Phone (304) 215-1247
7595 Martinsburg Pike
Shepherdstown, WV 25443
Phone (304) 907-2191
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.
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1558735209
-
- Primary Care Clinic/Center
- Hagerstown, MD
- NPI 1720915317
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Berkeley Medical Center
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1659188530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13833 EMERSON DR",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217425322",
"telephone_number": "240-550-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13833 EMERSON DR",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217425322",
"telephone_number": "240-550-5651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKAH",
"first_name": "PATRICK",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-14",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "2024064132",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R203485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.