LYNDSEY DEMELZA ACKERMAN NP
NPI 1619630464
Nurse Practitioner - Pediatrics in Sacramento, CA

Active since October 19, 2021PECOS EnrolledAccepts Medicare Assignment
2315 STOCKTON BLVD, SACRAMENTO, CA 95817(800) 282-3284 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2024, Oct 19, 2021 (2 updates tracked since 2021).

About Lyndsey Demelza Ackerman Np NPPES

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

LYNDSEY DEMELZA ACKERMAN NP (NPI 1619630464) is an individual pediatrics provider in Sacramento, California, licensed in California (95018883) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619630464
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLYNDSEY DEMELZA ACKERMANCredential: NP
Location Address2315 STOCKTON BLVDSacramento, CA 95817-2201
Mailing Address612 Hibiscus CtBrentwood, CA 94513-5567 · (952) 215-7357
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 19, 2021
Last NPPES UpdateMay 16, 20242 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1619630464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 95018883
2315 STOCKTON BLVD, Sacramento, CA 95817

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lyndsey Demelza Ackerman Np 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.

PECOS PAC ID749679447
PECOS Enrollment IDI20211118002261
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Lyndsey Ackerman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
2315 STOCKTON BLVD
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Regents Of The Univ Of Ca
  • 2,570 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
Surgery
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 761 clinicians in this Medicare group
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker (Clinical)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Registered Nurse
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Emergency Medicine
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Specialist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Surgery (Pediatric Surgery)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Physical Therapy Assistant
2315 STOCKTON BLVD, ROOM 0512
SACRAMENTO, CA 95817
Occupational Therapist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817

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 Lyndsey Ackerman's NPI number?

The NPI number for Lyndsey Ackerman is 1619630464. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Where is Lyndsey Ackerman located?

Lyndsey Ackerman practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (800) 282-3284.

What is Lyndsey Ackerman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Lyndsey Ackerman enrolled in Medicare?

Yes. Lyndsey Ackerman 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.

Which organizations bill Medicare for Lyndsey Ackerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lyndsey Ackerman reassigns Medicare benefits to 5 organizations: Regents Of The University Of Ca (Sacramento, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA), Ucsf Dept Of Surgery (San Francisco, CA) and Ucsf Pediatrics Associates (San Francisco, CA). Each 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 Lyndsey Ackerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lyndsey Ackerman was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.