1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JUSTIN HACKETT MD
NPI 1902608631
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since March 25, 2025PECOS Enrolled
1705 NE PACIFIC ST BOX 357470, SEATTLE, WA 98195(719) 337-6657 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Justin Hackett Md NPPES

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

JUSTIN HACKETT MD (NPI 1902608631) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902608631
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN HACKETTCredential: MD
Location Address1705 NE PACIFIC ST BOX 357470Seattle, WA 98195-0001
Mailing Address24674 Willowby AveEastpointe, MI 48021-1456 · (719) 337-6657
Phone(719) 337-6657
Sole ProprietorNo
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 21, 2025
✔ NPI 1902608631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1705 NE PACIFIC ST BOX 357470, Seattle, WA 98195
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Hackett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

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

CALLIE DIANA GREY MD
Student in an Organized Health Care Education/Training Program
1705 NE PACIFIC ST BOX 357470
SEATTLE, WA 98195
King County (901) 326-3816
RABAB RADI GOMAA MAHMOUD ABDELWAHED MD, PHD
Pathology (Anatomic Pathology)
1705 NE PACIFIC ST BOX 357470
SEATTLE, WA 98195
King County (206) 543-1140
DR. CONNOR JAMES RYAN FOSTER MD, PHD
Student in an Organized Health Care Education/Training Program
1705 NE PACIFIC ST BOX 357470, ATTN: ACADEMIC PROGRAMS
SEATTLE, WA 98195
King County (206) 685-1624
DR. ALISHA D BERRY MD, MCR
Pathology (Anatomic Pathology & Clinical Pathology)
1705 NE PACIFIC ST BOX 357470
SEATTLE, WA 98195
King County (206) 543-5453

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 Justin Hackett's NPI number?

The NPI number for Justin Hackett is 1902608631. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Justin Hackett located?

Justin Hackett practices at 1705 NE Pacific St Box 357470, Seattle, WA 98195. The listed phone number is (719) 337-6657.

What is Justin Hackett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin Hackett enrolled in Medicare?

Yes. Justin Hackett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Hackett was last updated on March 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.