JASON ACKERMAN MD NPI 1396060604

NPI Information

  • NPI: 1396060604
  • Provider Name: JASON ACKERMAN, MD
  • Classification: Internal Medicine - 207RA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1333 W 5TH ST STE 200
    SHERIDAN, WY
    ZIP 82801
  • Phone: (307) 675-2674

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NPI Details

Jason Ackerman, MD is an addiction medicine internal medicine in Sheridan, WY with 13 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. Jason Ackerman, MD NPI is 1396060604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

1333 W 5TH ST STE 200
SHERIDAN, WY
ZIP 82801-752
Phone: (307) 675-2674
Fax: (307) 675-5896

The NPI 1396060604 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Hospital observation care on day of discharge (HCPCS:99217)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Initial hospital observation care per day, typically 30 minutes (HCPCS:99218)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)

The enumeration date for this NPI number is 3/30/2010 and was last updated on 10/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0401XInternal MedicineAddiction Medicine49412AWYOMINGYes
2207R00000XInternal Medicine9412AWYOMINGNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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