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SHAWTA SACKETT PMHNP-BC
NPI 1073099875
Nurse Practitioner - Psychiatric/Mental Health in Moses Lake, WA

Active since July 14, 2018PECOS EnrolledAccepts Medicare Assignment
605 S COOLIDGE ST, MOSES LAKE, WA 98837(509) 765-0674(509) 764-0344 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 28, 2018, Jul 14, 2018 (2 updates tracked since 2018).

About Shawta Sackett Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWTA SACKETT PMHNP-BC (NPI 1073099875) is an individual psychiatric/mental health provider in Moses Lake, Washington, licensed in Washington (AP60867849) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Moses Lake, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073099875
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHAWTA SACKETTCredential: PMHNP-BC
Location Address605 S COOLIDGE STMoses Lake, WA 98837
Mailing Address605 S Coolidge StMoses Lake, WA 98837-1893 · (509) 765-0674
Phone(509) 765-0674
Fax(509) 764-0344
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 14, 2018
Last NPPES UpdateAugust 28, 20182 updates tracked since enumeration
✔ NPI 1073099875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP60867849
605 S COOLIDGE ST, Moses Lake, WA 98837
Open in Google Maps ↗

Secondary Practice Location 1

Location 11017 W Ivy AveMoses Lake, WA 98837-2048 · Phone (253) 653-3864

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shawta Sackett Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375895113
PECOS Enrollment IDI20181005002708
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98837 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOSES LAKE COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 764-0674
FRANCIE TROWBRIDGE ARNP
Nurse Practitioner
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
DR. SEAN BARRY COLLETTE D.D.S.
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MANUEL FELIPE PRIETO DDS
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
CHLOE NOEL KESTERSON PA-C
Physician Assistant
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
ANDREW PAULLIN JOHNSON D.M.D.
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MATTHEW HARDY M.S., D.O.
Family Medicine
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
DR. MICHEAL RYAN TOLLEY DO
Family Medicine
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawta Sackett's NPI number?

The NPI number for Shawta Sackett is 1073099875. It was assigned to this individual provider in the NPPES registry on July 14, 2018.

Where is Shawta Sackett located?

Shawta Sackett practices at 605 S Coolidge St, Moses Lake, WA 98837. The listed phone number is (509) 765-0674.

What is Shawta Sackett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shawta Sackett enrolled in Medicare?

Yes. Shawta Sackett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shawta Sackett accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Shawta Sackett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawta Sackett was last updated on August 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.