Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Frederick Ackerman, PAC

Individual provider Physician Assistant · NPI 1710093612

Mark Frederick Ackerman, PAC is a Physician Assistant in Orofino, Idaho. Qualified in 1990, 36 years ago. Practices with Clearwater Valley Hospital and Clinics, a 28-clinician group and works from 2 locations. Licensed in Idaho.

Years since qualifying
36
Licensed in
ID
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

1055 Riverside Ave
Orofino, ID 83544-9029
Phone: (208) 476-4555
Fax: (208) 476-5385
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 S Main St, Moscow, ID 83843-3046 — (208) 882-4511

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-392 (ID)

Record details

NPI number1710093612
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 22, 2006
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing address301 Cedar St, Orofino, ID 83544-9029

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Clearwater Valley Hospital And Clinics — 28 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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