Individual provider

Lee Ackley, PA-C, MPAS, RT(R)

Medical Physician Assistant Medicare enrolled

Lee Ackley, PA-C, MPAS, RT(R) is a Medical Physician Assistant in Wichita Falls, TX, registered under NPI 1417933813.

Getting there

The practice address on file is 4412 KELL BLVD, Wichita Falls, TX 76309. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4412 KELL BLVD, Wichita Falls, TX 76309 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PA02732 TX Medical Physician Assistant primary

This provider holds licence PA02732 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
7618999681
Enrollment ID
I20051220000130

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417933813 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 16, 2005
Last updatedSep 24, 2021
StatusActive
Sole proprietorNo
CredentialPA-C, MPAS, RT(R)
Practice address 4412 KELL BLVD
Wichita Falls, TX 76309
(940) 696-0011
Fax (940) 696-2248
Mailing address 901 INDIANA AVE STE 540
Wichita Falls, TX 76301
The last update on file is Sep 24, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1417933813 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 9 3 3 8 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 9 3 6 8 2

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417933813?
NPI 1417933813 is the National Provider Identifier assigned to Lee Ackley, PA-C, MPAS, RT(R) in Wichita Falls, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Lee Ackley, PA-C, MPAS, RT(R)?
The phone number on file with NPPES is (940) 696-0011, last updated Sep 24, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Lee Ackley, PA-C, MPAS, RT(R) accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417933813 a valid number?
Yes. 1417933813 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.