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ZACHERY NATHAN SHINKLE
NPI 1649088550
Counselor - Mental Health in Salt Lake City, UT

Active since December 23, 2024PECOS Enrolled
117 W 400 S, SALT LAKE CITY, UT 84101(801) 428-4257 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Zachery Nathan Shinkle NPPES

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

ZACHERY NATHAN SHINKLE (NPI 1649088550) is an individual mental health provider in Salt Lake City, Utah, licensed in Utah (11650733-6009) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1649088550
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameZACHERY NATHAN SHINKLE
Location Address117 W 400 SSalt Lake City, UT 84101-1916
Mailing Address117 W 400 SSalt Lake City, UT 84101-1916 · (801) 428-4257
Phone(801) 428-4257
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 23, 2024
NPPES CertifiedDecember 23, 2024
✔ NPI 1649088550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 11650733-6009
117 W 400 S, Salt Lake City, UT 84101
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health 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 (PECOS)

Zachery Nathan Shinkle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961976410
PECOS Enrollment IDI20260706002990
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 Reassignment

Medicare enrollment records show Zachery Shinkle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charles L Diviney III Mc Lpc Ncc LLC
1.4 mi
Professional
352 S DENVER ST STE 350
Slc, UT 84111
  • Reassigned Medicare billing, Utah enrollment
  • 4 clinicians in this Medicare group
NPI 1235447772 (801) 521-4227

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

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.

MIRANDA LEIGH RANKIN
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
DIANA RACHEL FIERRO
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
KERRI ANN PAVLICA
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
NICHOLAS DAVID MCCLEERY
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
DELANEY TYLER BARCLAY
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
RYAN KEITH HODSON
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
STACEY ANN RIVERA
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257
JEREMY ED CHRISTENSEN
Community Health Worker
117 W 400 S
SALT LAKE CITY, UT 84101
Salt Lake County (801) 428-4257

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 Zachery Shinkle's NPI number?

The NPI number for Zachery Shinkle is 1649088550. It was assigned to this individual provider in the NPPES registry on December 23, 2024.

Where is Zachery Shinkle located?

Zachery Shinkle practices at 117 W 400 S, Salt Lake City, UT 84101. The listed phone number is (801) 428-4257.

What is Zachery Shinkle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Zachery Shinkle enrolled in Medicare?

Yes. Zachery Shinkle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Zachery Shinkle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachery Shinkle reassigns Medicare benefits to Charles L Diviney III Mc Lpc Ncc LLC (Slc, UT). The 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 Zachery Shinkle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachery Shinkle accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Zachery Shinkle 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 Zachery Shinkle was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.