KASSI ACKERMAN M.D.
NPI 1982082954
Pediatrics - Pediatric Critical Care Medicine in Fort Worth, TX

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment
801 7TH AVE, FORT WORTH, TX 76104(682) 885-7942 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2022, Jun 28, 2021 (2 updates tracked since 2021).

About Kassi Ackerman M.d. NPPES

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

KASSI ACKERMAN M.D. (NPI 1982082954) is an individual pediatric critical care medicine provider in Fort Worth, Texas, licensed in Texas (T5069) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2014).

NPPES Registry Identity

NPI1982082954
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameKASSI ACKERMANCredential: M.D.
Location Address801 7TH AVEFort Worth, TX 76104-2733
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2014
Enumeration DateMay 11, 2015
Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
✔ NPI 1982082954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in TX · T5069✔ Licensed in NM · MD2021-0609
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
801 7TH AVE, Fort Worth, TX 76104

Other Names 1

Former Name (1)Kassi Montgomery

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kassi Ackerman M.d. 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.

PECOS PAC ID7911210448
PECOS Enrollment IDI20220218000045
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kassi Ackerman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
Rural
2100 MARTIN LUTHER KING JR BLVD
Clovis, NM 88101
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Pediatrics
801 7TH AVE
FORT WORTH, TX 76104
Social Worker (Clinical)
801 7TH AVE, CASE MANAGEMENT
FORT WORTH, TX 76104
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Nurse Practitioner (Family)
801 7TH AVE
FORT WORTH, TX 76104
Registered Nurse
801 7TH AVE
FORT WORTH, TX 76104
Emergency Medicine (Pediatric Emergency Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104

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 Kassi Ackerman's NPI number?

The NPI number for Kassi Ackerman is 1982082954. It was assigned to this individual provider in the NPPES registry on May 11, 2015. The provider is also known as Kassi Montgomery.

Where is Kassi Ackerman located?

Kassi Ackerman practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-7942.

What is Kassi Ackerman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kassi Ackerman enrolled in Medicare?

Yes. Kassi 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.

Which organizations bill Medicare for Kassi Ackerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kassi Ackerman reassigns Medicare benefits to 2 organizations: Cook Children's Physician Network (Fort Worth, TX) and Presbyterian Healthcare Services (Clovis, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kassi Ackerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kassi Ackerman accept?

Health plans from Imperial Insurance Companies, Inc. list Kassi Ackerman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kassi Ackerman was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.