SATIVA LACKEY FNP-C
NPI 1639795131
Nurse Practitioner - Family in Austin, TX

Q: What is Sativa Lackey's NPI number?

The NPI number for Sativa Lackey is 1639795131. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Q: What is Sativa Lackey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sativa Lackey was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since June 19, 2020PECOS EnrolledAccepts Medicare Assignment

4303 VICTORY DR, AUSTIN, TX 78704(512) 462-3627(512) 462-2898 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2026, Sep 23, 2024, May 13, 2022 and 1 more (4 updates tracked since 2020).

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About Sativa Lackey Fnp-c NPPES

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

SATIVA LACKEY FNP-C (NPI 1639795131) is an individual family provider in Austin, Texas, licensed in Texas (AP143975) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Williamson, and maintains a secondary practice location in Round Rock.

NPPES Registry Identity

NPI1639795131

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSATIVA LACKEYCredential: FNP-C

Location Address4303 VICTORY DRAustin, TX 78704-7507

Mailing Address113 S Thomas CvBurnet, TX 78611-2086 · (512) 944-6548

Phone(512) 462-3627

Fax(512) 462-2898

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 19, 2020

Last NPPES UpdateMarch 11, 20264 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1639795131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP143975

4303 VICTORY DR, Austin, TX 78704

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Secondary Practice Location 1

Location 1100 College StRound Rock, TX 78664-4415 · Phone (512) 614-2851

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and more.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

Sativa Lackey Fnp-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 ID3971916495

PECOS Enrollment IDI20201230001052

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 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

28 services27 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

28 services28 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

21 services17 patients

Hospital Affiliations CMS Care Compare

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

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670041

Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78704 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

ALEKSANDRA ZYLKA

Nurse Practitioner (Family)