Patty J Ackerman, DNP, CNM, APRN is a
Advanced Practice Midwife physician based in Grace, Idaho. Patty J Ackerman is licensed to practice in * (Not Available) (license number ) and her current practice location is 804 S Main St, Grace, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 220-7111.
NPI number for Patty J Ackerman is 1497037758 and her current mailing address is 804 S Main St, Grace, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497037758.
Physician's Profile
| Full Name | Patty J Ackerman |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
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| Location | 804 S Main St, Grace, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497037758
- Provider Enumeration Date: 09/13/2011
- Last Update Date: 05/08/2025
Medical Identifiers
Medical identifiers for Patty J Ackerman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497037758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | CMN61A (Idaho) | Secondary |
| 363L00000X | Nurse Practitioner | CMN61A (Idaho) | Secondary |
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patty J Ackerman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Patty J Ackerman, DNP, CNM, APRN
804 S Main St,
Grace, ID 83241-4712
Ph: (208) 220-7111 | Patty J Ackerman, DNP, CNM, APRN
804 S Main St,
Grace, ID 83241-4712
Ph: (208) 220-7111 |
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