TRACIE A ACKERMAN ANP-C, AGACNP
NPI 1154417848
Nurse Practitioner - Adult Health in Bay Shore, NY
About Tracie A Ackerman Anp-c, Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACIE A ACKERMAN ANP-C, AGACNP (NPI 1154417848) is an individual adult health provider in Bay Shore, New York, licensed in New York (304378) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tracie A Ackerman Anp-c, Agacnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ns/Lij Hs Southside Hospital
Acute Care Hospitals · Bay Shore, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BAY SHORE, NY 11706
BAY SHORE, NY 11706
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tracie Ackerman's NPI number?
The NPI number for Tracie Ackerman is 1154417848. It was assigned to this individual provider in the NPPES registry on October 4, 2006.
Where is Tracie Ackerman located?
Tracie Ackerman practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3171.
What is Tracie Ackerman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Tracie Ackerman enrolled in Medicare?
Yes. Tracie Ackerman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Tracie Ackerman affiliated with any hospitals?
According to CMS data, Tracie Ackerman is affiliated with Ns/Lij Hs Southside Hospital.
When was this NPI record last updated?
The NPPES record for Tracie Ackerman was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tracie A Ackerman, ANP-C, AGACNP · NPI 1154417848
Adult Health physician in Bay Shore, New York. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1154417848 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 304378 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 301 E MAIN ST, Bay Shore, NY 11706-8408
- **Phone:** (631) 968-3171
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** October 2, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1154417848) · Data from the CMS NPPES public registry.