SHELBY JOY SACKETT PA-C
NPI 1558092759
Physician Assistant - Surgical in Medford, OR

Active since June 20, 2022PECOS EnrolledAccepts Medicare Assignment
1698 E MCANDREWS RD STE 400, MEDFORD, OR 97504(541) 732-7874 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelby Joy Sackett Pa-c NPPES

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

SHELBY JOY SACKETT PA-C (NPI 1558092759) is an individual surgical provider in Medford, Oregon, licensed in Oregon (PA218037) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Providence Medford Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1558092759
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHELBY JOY SACKETTCredential: PA-C
Location Address1698 E MCANDREWS RD STE 400Medford, OR 97504-5590
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (541) 732-7874
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 20, 2022
Last NPPES UpdateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
NPI 1558092759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in OR · PA218037
1698 E MCANDREWS RD STE 400, Medford, OR 97504

Accepted 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

Shelby Joy Sackett Pa-c 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 ID7810345881
PECOS Enrollment IDI20231201000074
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services18 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
19 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Medford Medical Center

Acute Care Hospitals · Medford, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380075
Location1111 Crater Lake AvenueMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Critical Care Medicine)
1698 E MCANDREWS RD STE 400
MEDFORD, OR 97504
Nurse Practitioner (Women's Health)
1698 E MCANDREWS RD STE 400
MEDFORD, OR 97504
Registered Nurse (Women's Health Care, Ambulatory)
1698 E MCANDREWS RD STE 400
MEDFORD, OR 97504
Internal Medicine (Pulmonary Disease)
1698 E MCANDREWS RD STE 400
MEDFORD, OR 97504
Internal Medicine (Infectious Disease)
1698 E MCANDREWS RD STE 400
MEDFORD, OR 97504
Nurse Practitioner (Family)
1698 E MCANDREWS RD STE 400
MEDFORD, OR 97504
Physician Assistant
1698 E MCANDREWS RD STE 400
MEDFORD, OR 97504
Nurse Practitioner (Women's Health)
1698 E MCANDREWS RD STE 400
MEDFORD, OR 97504

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 Shelby Sackett's NPI number?

The NPI number for Shelby Sackett is 1558092759. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Shelby Sackett located?

Shelby Sackett practices at 1698 E Mcandrews Rd Ste 400, Medford, OR 97504. The listed phone number is (541) 732-7874.

What is Shelby Sackett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Shelby Sackett enrolled in Medicare?

Yes. Shelby 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 Shelby Sackett accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Shelby 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.

Is Shelby Sackett affiliated with any hospitals?

According to CMS data, Shelby Sackett is affiliated with Providence Medford Medical Center.

When was this NPI record last updated?

The NPPES record for Shelby Sackett was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.