Individual provider Active NPI

Jason Ackerman, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Sheridan, WY
National Provider Identifier
1396060604
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
49412A Issued in WY
Practice address
1333 W 5TH St Ste 200
Sheridan, WY 82801-2752
Phone
(307) 675-2674
Fax
(307) 675-5896
NPI assigned
Mar 30, 2010
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9412A WY
Addiction Medicine (Internal Medicine) Physician 207RA0401X 49412A WY Primary

Addresses

Primary practice location

1333 W 5TH St Ste 200
Sheridan, WY 82801-2752

Mailing address

1333 W 5TH St Ste 110
Sheridan, WY 82801-2752
Phone (307) 675-2650

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jasonackerman@sheridan.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130916000596 WY Practitioner - Internal MedicinePractitioner - Addiction Medicine 3779727607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Yale University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Big Horn Health NetworkGroup PAC ID 1254476484, 84 clinicians

Practice addresses (Care Compare)

1333 W 5TH St
Sheridan, WY 82801-2752

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.66 of 100Reported as group
Quality
82.09
Promoting interoperability
98
Improvement activities
40
Cost
75.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49412AWYMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Memorial Sameday Health & Imaging Urgent Care CurrentSince May 8, 2022 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Jun 17, 2014 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Jun 17, 2014 Accepting new patients
Big Horn Health Network Internal Medicine CurrentSince Aug 19, 2013 Accepting new patients
Gastroenterology Associates, LLC PastSince Nov 1, 2019 Accepting new patients

Locations

1333 W 5th St
Ste 110
Sheridan, WY 82801
Phone (307) 675-4610

1333 W 5th St
Ste 112
Sheridan, WY 82801
Phone (307) 675-2650

1333 W 5th St
Ste 200
Sheridan, WY 82801
Phone (307) 673-3181

1401 W 5th St
Sheridan, WY 82801
Phone (307) 672-1000

1435 Burton St
Sheridan, WY 82801
Phone (307) 672-0763

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d7c7003a-96ae-4246-aaaa-19b18f13056e/
  • Direct secure messaging: jasonackerman@sheridan.cernerdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1396060604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST STE 110",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012752",
            "telephone_number": "307-675-2650",
            "fax_number": "307-675-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST STE 200",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012752",
            "telephone_number": "307-675-2674",
            "fax_number": "307-675-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-30",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "9412A",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "WY",
            "license": "49412A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jasonackerman@sheridan.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1333 W 5TH ST, STE 112",
            "city": "Sheridan",
            "state": "WY",
            "country_code": "US",
            "postal_code": "828012752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.