Individual provider Active NPI

Kimberly L. Ackerman, FNP

  • Adult Health Nurse Practitioner
  • Billings, MT
National Provider Identifier
1922032861
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NUR-APRN-LIC-100462 Issued in MT
Practice address
2800 10TH Ave N
Billings, MT 59101-0703
Phone
(406) 657-4000
NPI assigned
Jul 10, 2006
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN26870 MT
Adult Health Nurse Practitioner 363LA2200X NUR-APRN-LIC-100462 MT Primary
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-100462 MT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NUR-APRN-LIC-100504 MT

Addresses

Primary practice location

2800 10TH Ave N
Billings, MT 59101-0703

Mailing address

4988 Stone Ridge Cir
Billings, MT 59106-4418
Phone (406) 534-1627

Other identifiers 5

IdentifierTypeStateIssuer
123149900OtherMTMT MDCD PIN
000370601OtherMTMT MDCD BCBS
P00013861OtherMTRAILROAD MEDICARE
CI3483OtherMTRAILROAD MEDICARE
4308772OtherMTMT MDCD PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kackerman@billingsclinic.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, ND, WY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060808000233 MT Practitioner - Nurse Practitioner 0345243531 Reassigns benefits to 1 organization
I20241210003035 ND Practitioner - Nurse Practitioner 0345243531 Reassigns benefits to 1 organization
I20241213002340 WY Practitioner - Nurse Practitioner 0345243531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Billings ClinicGroup PAC ID 6002993516, shared by 7 NPIs, 814 clinicians

Practice addresses (Care Compare)

1045 N 30TH St
Billings, MT 59101-0733
Phone (406) 255-8472

1301 15TH Ave W
Williston, ND 58801-3821
Phone (701) 774-7400

201 Yellowstone Ave
Cody, WY 82414-9313
Phone (307) 527-7561

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

802 N 28TH St
Billings, MT 59101-0733
Phone (406) 238-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN26870MTMDNurse Practitioner
NUR-APRN-LIC-100462MTMDAdult Health Nurse Practitioner
NUR-APRN-LIC-100504MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Apr 17, 2017 Accepting new patients
Billings Clinic CurrentSince Nov 3, 2024 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Oct 12, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

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

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

201 Yellowstone Ave
Cody, WY 82414
Phone (307) 527-7561

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Interoperability endpoints

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

Organizations & group practices 6

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 12

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1922032861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4988 STONE RIDGE CIR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591064418",
            "telephone_number": "406-534-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 10TH AVE N",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010703",
            "telephone_number": "406-657-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "KIMBERLY",
        "middle_name": "L.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "RN26870",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-100462",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-100462",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-100504",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT MDCD PIN",
            "identifier": "123149900",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT MDCD BCBS",
            "identifier": "000370601",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00013861",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI3483",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT MDCD PIN",
            "identifier": "4308772",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kackerman@billingsclinic.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2800 10th Ave N",
            "city": "Billings",
            "state": "MT",
            "country_code": "US",
            "postal_code": "591010703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.