Individual provider Active NPI

Anna Ackermann, PA-C

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1972237170
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004598A Issued in IN
Practice address
8051 S Emerson Ave
Indianapolis, IN 46237-8600
Phone
(317) 790-3355
NPI assigned
Jul 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10004598A IN Primary

Addresses

Primary practice location

8051 S Emerson Ave
Indianapolis, IN 46237-8600

Mailing address

8051 S Emerson Ave
Indianapolis, IN 46237-8600

Other names 1

  • Anna Brenneman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20241119001088 IN Practitioner - Physician Assistant 5698200335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seven Hills OB-GYN Associates LLC 88 clinicians

Practice addresses (Care Compare)

8051 S Emerson Ave
400 OBGYN of Indiana South
Indianapolis, IN 46237-8633
Phone (317) 865-3600

8051 S Emerson Ave
Suite 425
Indianapolis, IN 46237-0012
Phone (317) 865-3600

Hospital & facility affiliations

  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Hills OB-GYN Associates, LLC Physician Assistant CurrentSince Oct 24, 2024 Accepting new patients
Obstetrics & Gynecology of Indiana, LLC Past Accepting new patients

Locations

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

8051 S Emerson Ave
Ste 425
Indianapolis, IN 46237
Phone (317) 865-3600

1205 Hadley Rd
Ste 120
Mooresville, IN 46158
Phone (317) 584-3454

Interoperability endpoints

  • Direct secure messaging: anna.ackermann@axia.eclinicaldirectplus.com
  • Direct secure messaging: aackermann552554@ecommunitydirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1972237170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378600",
            "telephone_number": "317-790-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMANN",
        "first_name": "ANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004598A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "BRENNEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.