Individual provider Active NPI

Valerie Lynn Ackman, PA-C

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1982824504
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0005690 Issued in CO
Practice address
3600 S Logan St Ste 100
Englewood, CO 80113-3766
Phone
(303) 839-7980
Fax
(303) 839-7936
NPI assigned
Apr 26, 2007
Last updated
Sep 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 432 WY
Physician Assistant 363A00000X 0005690 CO Primary

Addresses

Primary practice location

3600 S Logan St Ste 100
Englewood, CO 80113-3766

Mailing address

5082 W 109TH Cir
Westminster, CO 80031-2180
Phone (720) 402-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210113000010 CO Practitioner - Physician Assistant 3779479712 Reassigns benefits to 1 organization
I20210826000122 AL Practitioner - Physician Assistant 3779479712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15679CAMDAcupuncturist
0005690COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 1, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC CurrentSince Sep 1, 2021 Accepting new patients
Orthopedic Centers of Colorado, LLC Physician Assistant CurrentSince Dec 1, 2020 Accepting new patients
Orthopedic Centers of Colorado, LLC Physician Assistant CurrentSince Dec 1, 2020 Accepting new patients
Colorado Facial Plastic Surgery Center Inc PastSince Mar 31, 2010 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

8101 E Lowry Blvd
Ste 230
Denver, CO 80230
Phone (303) 962-3926

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

Interoperability endpoints

  • Direct secure messaging: vackman@direct.uabmedicine.org

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 2

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1982824504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5082 W 109TH CIR",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312180",
            "telephone_number": "720-402-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S LOGAN ST STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133766",
            "telephone_number": "303-839-7980",
            "fax_number": "303-839-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKMAN",
        "first_name": "VALERIE",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "432",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0005690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.