AUTUMN RENAE ACKERMAN PA
NPI 1780635748
Physician Assistant - Medical in Tulsa, OK

Q: What is Autumn Ackerman's NPI number?

The NPI number for Autumn Ackerman is 1780635748. It was assigned to this individual provider in the NPPES registry on May 15, 2006. The provider is also known as Autumn Renae Miller PA.

Q: What is Autumn Ackerman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Autumn Ackerman was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 15, 2006

5656 S 129TH EAST AVE, BUILDING C, TULSA, OK 74134(918) 357-7378(918) 357-7377 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Autumn Renae Ackerman Pa NPPES

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

AUTUMN RENAE ACKERMAN PA (NPI 1780635748) is an individual medical provider in Tulsa, Oklahoma, licensed in Oklahoma (1529) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1780635748

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameAUTUMN RENAE ACKERMANCredential: PA

Location Address5656 S 129TH EAST AVE, BUILDING CTulsa, OK 74134-6715

Mailing Address5656 S 129th East Ave, Building CTulsa, OK 74134-6715 · (918) 357-7378 · Fax (918) 357-7377

Phone(918) 357-7378

Fax(918) 357-7377

Sole ProprietorNo

Enumeration DateMay 15, 2006

Last NPPES UpdateSeptember 26, 2012

✔ NPI 1780635748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OK · 1529

5656 S 129TH EAST AVE, Tulsa, OK 74134

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Other Names 1

Former Name (1)Autumn Renae Miller Pa

Other Identifiers 1

Medicare PIN242623302OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. STACEY SIMONSON ROGERS MHR

Counselor

5656 S 129TH EAST AVE
TULSA, OK 74134

Tulsa County (918) 357-7003

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 Autumn Ackerman's NPI number?

The NPI number for Autumn Ackerman is 1780635748. It was assigned to this individual provider in the NPPES registry on May 15, 2006. The provider is also known as Autumn Renae Miller PA.

Where is Autumn Ackerman located?

Autumn Ackerman practices at 5656 S 129th East Ave Building C, Tulsa, OK 74134. The listed phone number is (918) 357-7378.

What is Autumn Ackerman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Autumn Ackerman accept?

Health plans from Mending Health list Autumn Ackerman 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 Autumn Ackerman was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.