Susan Louise Ackley, RN, APN-C

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NN09155900 Issued in NJ

Practice address

63 N Lakeview Dr Ste 202
Gibbsboro, NJ 08026-1026

Phone

(856) 435-6000

NPI assigned

Apr 3, 2007

Last updated

Aug 31, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.ackley@advocaredoctors.eclinicaldirectplus.com

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.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment NPD
• Advocare , LLC

  dba Advocare Berlin Medical Associates (DME)

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• Advocare, LLC

  dba Advocare Milestone Pediatrics

  • Pediatrics Physician
  • Gibbsboro, NJ
  • NPI 1265729552
  NPD (past)
• Advocare, LLC

  dba Advocare Merchantville Pediatrics

  • Pediatrics Physician
  • Cherry Hill, NJ
  • NPI 1780696732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1952422347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 N LAKEVIEW DR STE 202",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261026",
            "telephone_number": "856-435-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 N LAKEVIEW DR STE 202",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261026",
            "telephone_number": "856-435-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKLEY",
        "first_name": "SUSAN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "RN, APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NN09155900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273619",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amr Abdalla, DMD
• Jency Abraham, D.M.D.
• Raymond Thomas Abrams, D.M.D.
• Adcuro Home Healthcare LLC (Adcuro Behavioral Health LLC)
• Adcuro Home Healthcare LLC (Adcuro Behavioral Health LLC)
• Advocare, LLC (Advocare Milestone Pediatrics)
• Gregory M. Alberts, PHD
• Allies, Inc.

• Pediatric Nurse Practitioner in Gibbsboro, NJ
• Providers in Gibbsboro, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.