Individual provider Active NPI

Mark Aaron Ackerman, RN, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1679833016
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
76856 Issued in MT
Practice address
5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566
Phone
(406) 219-7233
NPI assigned
May 18, 2012
Last updated
May 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN001375 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP7767 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 76856 MT Primary

Addresses

Primary practice location

5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566

Mailing address

96 N Weaver St Unit 440
Belgrade, MT 59714-7018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20150515002162 MT Practitioner - Nurse Practitioner 7416192380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
406 Recovery IncGroup PAC ID 0042687717, 13 clinicians

Practice addresses (Care Compare)

5 W Mendenhall St
Suite 202
Bozeman, MT 59715-3566
Phone (406) 219-7233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP7767AZMDPsychiatric/Mental Health Nurse Practitioner
76856MTMDPsychiatric/Mental Health Nurse Practitioner
APRN001375NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
406 Recovery Inc CurrentSince Jan 25, 2023 Accepting new patients
Billings Clinic Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

96 N Weaver St
Unit 440
Belgrade, MT 59714
Phone (406) 219-7233

100 N 27th St
Ste 200
Billings, MT 59101
Phone (406) 219-7233

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

3010 Santa Fe Ct
Missoula, MT 59808
Phone (406) 219-7233

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368

Interoperability endpoints

  • Direct secure messaging: mackerman1@billingsclinic.cernerdirect.com

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, 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": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1679833016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 N WEAVER ST UNIT 440",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597147018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W MENDENHALL ST STE 202",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153566",
            "telephone_number": "406-219-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "MARK",
        "middle_name": "AARON",
        "credential": "RN, APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN001375",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP7767",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "76856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.