ACKERMAN UROLOGY
NPI 1013542919
Urology in Jacksonville, FL
About Ackerman Urology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACKERMAN UROLOGY (NPI 1013542919) is a healthcare organization registered as an urology in Jacksonville, Florida and active in the NPI registry since March 2020. The organization holds 4 active CLIA laboratory certificates and lists Scot N Ackerman, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ackerman Urology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Ackerman Urology, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (19)
Jacksonville, FL 32209
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 5
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2177107
Ackerman Urology · Jacksonville, FLCertificate of Waiver 10D2294760
Ackerman Cancer Center, Padba Akerman Urology · St Augustine, FLCertificate of Waiver 10D2285980
Ackerman Cancer Center, PA · Jacksonville, FLCertificate of Waiver 10D2199687
Ackerman Urology · Middleburg, FLCertificate of Waiver 10D2085724
Ackerman Cancer Center · Jacksonville, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ackerman Cancer Center, PA's NPI number?
The NPI number for Ackerman Cancer Center, PA is 1013542919. It was assigned to this organization in the NPPES registry on March 11, 2020. The provider is doing business as Ackerman Urology.
Where is Ackerman Cancer Center, PA located?
Ackerman Cancer Center, PA is located at 10232 San Jose Blvd, Jacksonville, FL 32257. The listed phone number is (904) 490-7400.
What is Ackerman Cancer Center, PA's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Ackerman Cancer Center, PA enrolled in Medicare?
Yes. Ackerman Cancer Center, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ackerman Cancer Center, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 5 Medicare specialties reassign their Medicare billing to Ackerman Cancer Center, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Radiation Oncology (5) and Urology (4). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ackerman Cancer Center, PA hold CLIA laboratory certificates?
Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Ackerman Cancer Center, PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ackerman Cancer Center, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ackerman Cancer Center, PA was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ackerman Urology · NPI 1013542919
Urology organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since March 11, 2020.
## Identity
- **NPI:** 1013542919 (Entity type: Organization)
- **Enumerated:** March 11, 2020
- **Primary specialty:** Urology · taxonomy 208800000X
- **Legal business name:** Ackerman Cancer Center, Pa
- **Organization subpart:** No
- **Authorized official:** Scot Ackerman, MEDICAL DIRECTOR
## Practice location
- **Address:** 10232 SAN JOSE BLVD, Jacksonville, FL 32257
- **Phone:** (904) 490-7400 · **Fax:** (904) 490-7401
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Radiation Oncology (5), Urology (4); 10 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2023
- **CLIA laboratory certificates:** 5 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013542919) · Data from the CMS NPPES public registry.