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Autumn Renae Ackerman, PA

NPI 1780635748ActiveIndividual· Physician Assistant, Medical· Tulsa, OK

Physician Assistant, Medical (PA) in Tulsa, Oklahoma, licensed in OK, with an NPI issued in May 2006.

Overview

NPI1780635748
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedMay 15, 2006
Last updated in NPPESSep 26, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700X1529OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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