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

Mr. Lee Edward Ackley, PA-C, MPAS, RTR

Individual provider Medical Physician Assistant · NPI 1417933813

Mr. Lee Edward Ackley, PA-C, MPAS, RTR is a Physician Assistant in Wichita Falls, Texas. Qualified in 1999, 27 years ago. Practices with Family Practice Associates LLP, a 9-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
27
Licensed in
TX
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4412 Kell Blvd
Wichita Falls, TX 76309-4719
Phone: (940) 696-0011
Fax: (940) 696-2248
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA02732 (TX)

Record details

NPI number1417933813
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MPAS , RTR
Sole proprietorNo
NPI enumeratedDecember 16, 2005
Last updated in NPPESSeptember 24, 2021
Certification dateSeptember 24, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Family Practice Associates Llp — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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