MRS. ELLEN MARIE ACKERMAN (PA-C) – Medical Physician Assistant, NPI 1538179775

MRS. ELLEN MARIE ACKERMAN (PA-C) is a healthcare provider. based in Carson city, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA963 (NV). The NPI Number for MRS. ELLEN MARIE ACKERMAN (PA-C) is 1538179775

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ELLEN MARIE ACKERMAN (PA-C)
NPI
1538179775
Phone
(775) 222-0044
Address
PO BOX 3299
Enumeration Date
9 August 2006
Last Update Date
5 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7753555010
Graduation Year
2005 (21 years ago)
PAC ID
4688673130
Group Practice PAC ID
0941611636
Professional Enrollment ID
I20061211000060
Address ID
NV894360836SP5265XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

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Provider Addresses for MRS. ELLEN MARIE ACKERMAN (PA-C)

  • Carson City Post Office, 1111, South Roop Street, Nevada Department of Transportation, Carson City, Nevada, 89701, United States

    CARSON CITY, NV 897023299

    Phone: (775) 222-0044

    Fax: (888) 700-0187

    Type: Mailing

  • Saint Mary's Regional Medical Center, 235, West 6th Street, Reno, Washoe County, Nevada, 89503, United States

    RENO, NV 895034548

    Phone: (775) 770-6490

    Fax: (775) 770-3944

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: PFIZER INC. ($20).

Total Amount

$52

General + Research + Ownership

Payments

3

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061211000060IPhysician AssistantNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941611636View full group profile
NameSpecialtyState
Physician AssistantNV
Nurse PractitionerNV
Physician AssistantNV
Internal MedicineCA
Physician AssistantNV
Nurse PractitionerNV
Physician AssistantNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

What federal number belongs to MRS. ELLEN MARIE ACKERMAN (PA-C)?
The federal identifier for MRS. ELLEN MARIE ACKERMAN (PA-C) is NPI 1538179775.
Is MRS. ELLEN MARIE ACKERMAN (PA-C)'s NPI currently valid?
The extract we use shows MRS. ELLEN MARIE ACKERMAN (PA-C) as active.
What field does MRS. ELLEN MARIE ACKERMAN (PA-C) work in?
You can think of MRS. ELLEN MARIE ACKERMAN (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MRS. ELLEN MARIE ACKERMAN (PA-C) practice in Nevada?
You will see Carson City, Nevada on file for MRS. ELLEN MARIE ACKERMAN (PA-C) alongside any extra practice locations.
What if Carson City, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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