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

Mrs. Alivia Grace Acklin, AG-ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1174404453

Mrs. Alivia Grace Acklin, AG-ACNP is a Nurse Practitioner in West Plains, Missouri. Qualified in 2024, 2 years ago. Practices with Ies Hsp Missouri LLC, a 23-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2025

Practice location Address checks out

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone: (417) 256-9111
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2025039655 (MO)

Record details

NPI number1174404453
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedSeptember 11, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ies Hsp Missouri Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare