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Active NPI 1033665906 Individual Practitioner Female Practitioner

Kathleen Teresa Ackerman , PA

Physician Assistant • Grosse Pointe, MI

Professional Overview & Biography Verified Profile Summary

Kathleen Ackerman, PA is a registered healthcare professional specializing in Physician Assistant in Grosse Pointe, MI. Practice services are available at 468 CADIEUX RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of impacted ear wax, exam of ear using a microscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

468 Cadieux Rd

Grosse Pointe, MI 482301507

Telephone 3134736899
Fax 3134731509
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grosse Pointe, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.4 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
36 Specialists

Practicing in Grosse Pointe, MI (7057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
36.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
46 44 $109.17 $82.76
99213 Established patient office or other outpatient visit, typically 15 minutes
36 33 $72.00 $56.02
69210 Removal of impacted ear wax
33 31 $77.27 $28.48
92504 Exam of ear using a microscope
23 22 $30.00 $7.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
19 19 $95.53 $70.97

Medical Specialties & State Licenses

CMS Verified: 2020-12-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601007873

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

44201 Dequindre Rd

Troy, MI 48085

Phone: 2489645000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Jessica Gould , PA-C

Physician Assistant

NPI 1053076109

Physician Assistant (Certified)

Abigail Miller , PA

Physician Assistant

NPI 1275146284

Physician Assistant

Tifani Stanciu

Physician Assistant

NPI 1326864216
Jayla Hubbard

Physician Assistant

NPI 1386445138
Mariesa Johnson , PA-C

Physician Assistant

NPI 1427755859

Physician Assistant (Certified)

Alexandra Sherwood

Physician Assistant - Medical

NPI 1528884806

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 12, 2022

Registered at 468 CADIEUX RD, GROSSE POINTE, MI 482301507 (Tel: 3134736899)

📍
Updated Business Mailing Address October 22, 2020

Registered at 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 480333849

📍
Updated Practice Location August 21, 2018

Registered at 44201 DEQUINDRE RD, TROY, MI 48085 (Tel: 2489645000)

👤
Provider Name / Credentials Updated August 21, 2018

Recorded as KATHLEEN ACKERMAN, PA

NPI Profile Active December 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 14, 2016

Registered at 8904 WOODWARD AVE, DETROIT, MI 482021821 (Tel: 3137842911)

📍
Updated Business Mailing Address December 14, 2016

Registered at 130 TOWN CENTER DR, STE 203, TROY, MI 480841744 (Tel: 3137842911)

👤
Provider Name / Credentials Updated December 14, 2016

Recorded as KATHLEEN CARLSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2016

Physician Assistant (License #5601007873 in MI)

🟢
Initial NPI Registration & Enumeration August 30, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033665906
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2016
Last Update: May 12, 2022
Sole Proprietor: No

Mailing Address

26901 Beaumont Blvd Ste 3d

Southfield, MI 480333849

Phone: 9475221848

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.