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

Riley William Ackerman

Individual provider Physician Assistant · NPI 1073241790

Riley William Ackerman is a Physician Assistant in Rapid City, South Dakota. Qualified in 2022, 4 years ago. Practices with Black Hills Surgical Hospital LLC, a 169-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022

Practice location Address checks out

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone: (605) 755-1000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1073241790
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 10, 2022
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022
Mailing address1615 West Blvd, Rapid City, SD 57701-4553

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Black Hills Surgical Hospital Llc — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Rapid City