PETER Y ACKERMAN (MD) – Anesthesiology Physician, NPI 1659344414

PETER Y ACKERMAN (MD) is a healthcare provider. based in Everett, Washington. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. MD00036311 (WA). The NPI Number for PETER Y ACKERMAN (MD) is 1659344414

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
PETER Y ACKERMAN (MD)
NPI
1659344414
Phone
(425) 258-3900
Address
PO BOX 5127
Enumeration Date
10 February 2006
Last Update Date
16 July 2013

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
9144919495
Graduation Year
1994 (32 years ago)
PAC ID
7911032495
Group Practice PAC ID
9335298884
Professional Enrollment ID
I20100323000502
Address ID
WA982011665EV1321XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,514 ANESTHESIOLOGY in WA

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Provider Addresses for PETER Y ACKERMAN (MD)

  • Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982065127

    Phone: (425) 258-3900

    Type: Mailing

  • Gunderson Building, 3927, Rucker Avenue, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982014833

    Phone: (425) 258-3900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-03-23

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
I20100323000502IAnesthesiologyWATBD

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 98206)

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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: 9335298884View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WA
-WA
Certified Registered Nurse Anesthetist (Crna)VT
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YWA
Certified Registered Nurse Anesthetist (Crna)WI
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA

Reviews

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Frequently asked questions

Where can patients find PETER Y ACKERMAN (MD)'s NPI?
You can confirm PETER Y ACKERMAN (MD) with NPI 1659344414; it appears in the national provider directory.
Is PETER Y ACKERMAN (MD)'s NPI currently valid?
The extract we use shows PETER Y ACKERMAN (MD) as active.
Does PETER Y ACKERMAN (MD) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for PETER Y ACKERMAN (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for PETER Y ACKERMAN (MD)?
The page summarizes Everett, Washington for PETER Y ACKERMAN (MD); expand the address list for detail.
What if Everett, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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