DR. RENATA A ACKERMANN PHD
NPI 1053453050
Psychologist - Clinical in Portland, OR
About Dr. Renata A Ackermann Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RENATA A ACKERMANN PHD (NPI 1053453050) is an individual clinical provider in Portland, Oregon, licensed in Oregon (1777) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Renata A Ackermann Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97209
PORTLAND, OR 97209
PORTLAND, OR 97209
Frequently 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 Renata Ackermann's NPI number?
The NPI number for Renata Ackermann is 1053453050. It was assigned to this individual provider in the NPPES registry on February 13, 2007.
Where is Renata Ackermann located?
Renata Ackermann practices at 619 NW 6th Ave, Portland, OR 97209. The listed phone number is (503) 988-3700.
What is Renata Ackermann's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Renata Ackermann enrolled in Medicare?
Yes. Renata Ackermann is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Renata Ackermann accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Renata Ackermann 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 Renata Ackermann was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Renata A Ackermann, PHD · NPI 1053453050
Clinical provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since February 13, 2007.
## Identity
- **NPI:** 1053453050 (Entity type: Individual)
- **Enumerated:** February 13, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 1777 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 619 NW 6TH AVE, Portland, OR 97209-3964
- **Phone:** (503) 988-3700 · **Fax:** (503) 988-5520
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** April 10, 2019
- **Other identifiers:** Medicaid 096511 (OR); Medicaid 22959 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1053453050) · Data from the CMS NPPES public registry.