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

Patricia Ann Hackenburg

Individual provider Family Nurse Practitioner · NPI 1801394085

Patricia Ann Hackenburg is a Nurse Practitioner in Lorain, Ohio. Qualified in 2017, 9 years ago. Practices with North Coast Professional Company, LLC, a 104-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2018
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Practice location Address checks out

5940 Oak Point Rd
Lorain, OH 44053-4100
Phone: (440) 988-3705
Fax: (440) 988-7433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.021824 (OH)

Record details

NPI number1801394085
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2018
Last updated in NPPESJuly 15, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice North Coast Professional Company, Llc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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