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MARY ALICE J ACKERMAN NP-C
NPI 1861851958
Nurse Practitioner - Acute Care in Beverly Hills, CA

Active since February 17, 2016PECOS Enrolled
8536 WILSHIRE BLVD STE 200, BEVERLY HILLS, CA 90211(310) 248-8300 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Oct 9, 2025, May 6, 2022 and 4 more (7 updates tracked since 2016).

About Mary Alice J Ackerman Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ALICE J ACKERMAN NP-C (NPI 1861851958) is an individual acute care provider in Beverly Hills, California, licensed in Illinois (209013829) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Paducah, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861851958
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMARY ALICE J ACKERMANCredential: NP-C
Location Address8536 WILSHIRE BLVD STE 200Beverly Hills, CA 90211-3154
Mailing Address8536 Wilshire Blvd Ste 200Beverly Hills, CA 90211-3154 · (310) 248-8300
Phone(310) 248-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 17, 2016
Last NPPES UpdateMay 29, 20267 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1861851958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in IL · 209013829✔ Licensed in CA · NP95011936✔ Licensed in KY · 4047687
8536 WILSHIRE BLVD STE 200, Beverly Hills, CA 90211
Open in Google Maps ↗

Secondary Practice Location 1

Location 11532 Lone Oak Rd Ste 415Paducah, KY 42003-7943 · Phone (270) 442-0103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Alice J Ackerman Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406152073
PECOS Enrollment IDI20251103001166, I20260611001179
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers29 claims2,790 services$0.27 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers25 claims4,560 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers32 claims6,600 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers40 claims40 services$18.86 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers65 claims74 services$12.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VIJAY S VAIDYA M.D.
Internal Medicine (Cardiovascular Disease)
8536 WILSHIRE BLVD STE 200
BEVERLY HILLS, CA 90211
Los Angeles County (310) 248-8300

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 Mary Alice Ackerman's NPI number?

The NPI number for Mary Alice Ackerman is 1861851958. It was assigned to this individual provider in the NPPES registry on February 17, 2016.

Where is Mary Alice Ackerman located?

Mary Alice Ackerman practices at 8536 Wilshire Blvd Ste 200, Beverly Hills, CA 90211. The listed phone number is (310) 248-8300.

What is Mary Alice Ackerman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mary Alice Ackerman enrolled in Medicare?

Yes. Mary Alice Ackerman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Alice Ackerman was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.