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

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: October 25, 2026.

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

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, maintains a secondary practice location in Round Rock, and is a graduate of Other (2019).

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
Open in Google Maps ↗

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, Harbor Health, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Sativa Lackey reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Longhorn Emergency Medical Associates PA
5.6 mi
Emergency Medicine
919 E 32ND ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 547 clinicians in this Medicare group
NPI 1649669672 (925) 251-6901
Travis County Emergency Physicians PA
5.7 mi
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
NPI 1962440933 (330) 493-4443
Curana Health Medical Group LLC
11 mi
Internal Medicine
8911 N CAPITAL OF TEXAS HWY STE 1110
Austin, TX 78759
  • Reassigned Medicare billing, Texas enrollment
  • 338 clinicians in this Medicare group
NPI 1255640678 (337) 991-9276
Usacs Observation Medicine Services Of Texas PLLC
25 mi
Emergency Medicine
201 SETON PKWY
Round Rock, TX 78665
  • Reassigned Medicare billing, Texas enrollment
  • 65 clinicians in this Medicare group
NPI 1134606353 (330) 493-4443
Access Health Urgent Care PLLC
45 mi
Urgent Care
101 LEFFINGWELL LANE
Burnet, TX 78611
  • Reassigned Medicare billing, Texas enrollment
  • 13 clinicians in this Medicare group
NPI 1730828831 (337) 277-8630
Trumen Physician And Associates Post Acute PLLC
147 mi
Geriatric Medicine
2626 S LOOP W STE 265
Houston, TX 77054
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group
NPI 1316801004 (713) 796-9955
Trumen Physicians And Associates PLLC
147 mi
Geriatric Medicine
2626 S LOOP W STE 265
Houston, TX 77054
  • Reassigned Medicare billing, Texas enrollment
  • 158 clinicians in this Medicare group
NPI 1134442320 (713) 242-7707

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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)
4303 VICTORY DR
AUSTIN, TX 78704
Travis County (512) 462-3627
VICTORY MEDICAL CENTER PHARMACY
Pharmacy (Community/Retail Pharmacy)
4303 VICTORY DR
AUSTIN, TX 78704
Travis County (512) 279-0985
TOTH ENTERPRISES II
Family Medicine
4303 VICTORY DR
AUSTIN, TX 78704
Travis County (512) 462-3627
MR. SHAWN R AGENBROAD-ELANDER FNP-C
Nurse Practitioner (Family)
4303 VICTORY DR
AUSTIN, TX 78704
Travis County (512) 462-3627
SHELLEY HARDIN SALINAS DPT
Physical Therapist
4303 VICTORY DR
AUSTIN, TX 78704
Travis County (512) 462-3627
MICHAEL ALLEN ARMSTRONG MD
Family Medicine
4303 VICTORY DR
AUSTIN, TX 78704
Travis County (512) 462-3627
GARY R ALBERTSON DO
Allergy & Immunology
4303 VICTORY DR
AUSTIN, TX 78704
Travis County (512) 462-3627
RALPH HADLEY JR. PA
Physician Assistant
4303 VICTORY DR
AUSTIN, TX 78704
Travis County (512) 462-3627

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 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.

Where is Sativa Lackey located?

Sativa Lackey practices at 4303 Victory Dr, Austin, TX 78704. The listed phone number is (512) 462-3627.

What is Sativa Lackey's specialty?

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

Is Sativa Lackey enrolled in Medicare?

Yes. Sativa Lackey 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.

Which organizations bill Medicare for Sativa Lackey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sativa Lackey reassigns Medicare benefits to 7 organizations: Longhorn Emergency Medical Associates PA (Austin, TX), Travis County Emergency Physicians PA (Austin, TX), Curana Health Medical Group LLC (Austin, TX), Usacs Observation Medicine Services Of Texas PLLC (Round Rock, TX), Access Health Urgent Care PLLC (Burnet, TX) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sativa Lackey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sativa Lackey accept?

Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Sativa Lackey 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 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 7 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.