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

Tracie A Ackerman, ANP-C, AGACNP

Individual provider Adult Health Nurse Practitioner · NPI 1154417848

Tracie A Ackerman, ANP-C, AGACNP is a Nurse Practitioner in Bay Shore, New York. Qualified in 2006, 20 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2006

Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8408
Phone: (631) 968-3171
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 304378 (NY)

Record details

NPI number1154417848
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-C , AGACNP
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bay Shore