Active NPI
Lyndsey Demelza Ackerman, NP
- Pediatric Nurse Practitioner
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95018883
- Practice address
- 2315 Stockton Blvd
Sacramento, CA 95817-2201 - Phone
- (800) 282-3284
- NPI assigned
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
CA
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Trauma Surgery Physician
- Sacramento, CA
- NPI 1568455590
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regents of the Univ of Ca
Practice addresses (Care Compare)
2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-2680
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211118002261 | CA | Practitioner - Nurse Practitioner | 0749679447 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Dept of Surgery | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Pediatrics Associates | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
2521 Stockton Blvd
Ste 4100
Sacramento, CA 95817
Phone (916) 734-5846
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
3360 Geary Blvd
Ste 201
San Francisco, CA 94118
Phone (415) 353-3100
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 95018883 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2315 Stockton Blvd
Sacramento, CA 95817-2201
Mailing address
612 Hibiscus CT
Brentwood, CA 94513-5567
Phone (952) 215-7357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2024.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1619630464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 HIBISCUS CT",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945135567",
"telephone_number": "952-215-7357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "800-282-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "LYNDSEY",
"middle_name": "DEMELZA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95018883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.