Individual provider Active NPI

Patrick Ackah

  • Registered Nurse
  • Hagerstown, MD
National Provider Identifier
1659188530
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R203485 Issued in MD
Practice address
13833 Emerson Dr
Hagerstown, MD 21742-5322
Phone
(240) 550-5651
NPI assigned
Dec 14, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260208000256 WV Practitioner - Nurse Practitioner 8325527575 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
R203485MDMDRegistered Nurse
2024064132MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Valley Family Medicine and Urgent Care CurrentSince Nov 16, 2025 Accepting new patients
Quickcare Virtual Clinic LLC CurrentSince Dec 15, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.