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PATRICIA M ACKLEY PA-C
NPI 1578555686
Student in an Organized Health Care Education/Training Program in Shreveport, LA

Active since August 16, 2005PECOS Enrolled
1501 KINGS HWY, SHREVEPORT, LA 71103(318) 675-5619 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Aug 17, 2016 (2 updates tracked since 2016).

About Patricia M Ackley Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA M ACKLEY PA-C (NPI 1578555686) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578555686
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePATRICIA M ACKLEYCredential: PA-C
Location Address1501 KINGS HWYShreveport, LA 71103-4228
Mailing Address1501 Kings HwyShreveport, LA 71103-4228 · (318) 675-5619
Phone(318) 675-5619
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1578555686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA04420 (TX)
1501 KINGS HWY, Shreveport, LA 71103
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Other Names 1

Former Name (1)Patricia L Russell Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia M Ackley Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
12 services12 patients

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.

HS LOUISIANA, LLC
General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Caddo Parish (904) 834-2679
MUNIRA DAWITH MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-6619
MUHAMMAD AYUB
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0434
SEFI AHMED JAWADI
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0505
RYAN MORRIS
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-2293
LUKE MUIZNIEKS
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-1574
KRISTIN BEMBENICK
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5300
CHRISTIAN SCOTT BAKER MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5053

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 Patricia Ackley's NPI number?

The NPI number for Patricia Ackley is 1578555686. It was assigned to this individual provider in the NPPES registry on August 16, 2005. The provider is also known as Patricia L Russell Pa-C.

Where is Patricia Ackley located?

Patricia Ackley practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 675-5619.

What is Patricia Ackley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Patricia Ackley enrolled in Medicare?

Yes. Patricia Ackley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patricia Ackley was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.