Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Alice J Ackerman, NP-C

Individual provider Acute Care Nurse Practitioner · NPI 1861851958

Mary Alice J Ackerman, NP-C is a Nurse Practitioner in Beverly Hills, California. Qualified in 2015, 11 years ago. Works from 2 locations. Licensed in California, Illinois and Kentucky.

Years since qualifying
11
Licensed in
CA, IL, KY
In the registry since
2016
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

8536 Wilshire Blvd Ste 200
Beverly Hills, CA 90211-3154
Phone: (310) 248-8300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1532 Lone Oak Rd Ste 415, Paducah, KY 42003-7943 — (270) 442-0103

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 209013829 (IL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence NP95011936 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 4047687 (KY)

Record details

NPI number1861851958
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedFebruary 17, 2016
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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