SATIVA LACKEY FNP-C
NPI 1639795131
Nurse Practitioner in Austin, TX
NPI Status: Active since June 19, 2020
Contact Information
4303 VICTORY DR
AUSTIN, TX
ZIP 78704
Phone: (512) 462-3627
Fax: (512) 462-2898
- Individual
- Female
- Nurse Practitioner
- Accepts Insurance
- PECOS Enrolled
About SATIVA LACKEY
This page provides the complete NPI Profile along with additional information for Sativa Lackey, a provider established in Austin, Texas with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1639795131 assigned on June 2020. The practitioner's primary taxonomy code is 363L00000X with license number AP143975 (TX). The provider is registered as an individual and her NPI record was last updated one year ago. Sativa Lackey operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1639795131
- Provider Name
- SATIVA LACKEY FNP-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4303 VICTORY DR AUSTIN, TX 78704
- Location Phone
- (512) 462-3627
- Location Fax
- (512) 462-2898
- Mailing Address
- 113 S THOMAS CV BURNET, TX 78611
- Mailing Phone
- (512) 944-6548
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-19-2020
- Last Update Date
- 09-23-2024
- Code Navigator
A nurse practitioner (NP) like Sativa Lackey is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 100 College St
Round Rock, TX 78664
(512) 614-2851
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- AP143975
- License State
- TX
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | AP143975 (TX) |
2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 692669 (TX) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Imperial Preferred Bronze - HMO
- Imperial Preferred Gold - HMO
- Imperial Preferred Gold Zero - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible - HMO
- Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs - HMO
- Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs - HMO
- Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs - HMO
- Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs - HMO
- Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist - HMO
- Sendero Health Real Gold / $350 Deductible - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sativa Lackey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Established patient office or other outpatient visit, 10-19 minutes
Professional service for multiple injections of allergen
Professional service for preparation and provision of 1 or more antigens
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
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.
This service was performed 66 times for 65 patientsAn 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.
This service was performed 20 times for 19 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 19 times for 19 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 30 times for 26 patientsThe professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
This service was performed 390 times for 59 patientsThis service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
This service was performed 670 times for 22 patientsA 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.
This service was performed 46 times for 45 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78704 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.03
- Minimum New Patient Price $57.88
- Maximum New Patient Price $174
- Average New Patient Copayment $22.25
- Minimum New Patient Copayment $14.47
- Maximum New Patient Copayment $43.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $101.65
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.23
- Average Established Patient Copayment $25.41
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.55
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for SATIVA LACKEY FNP-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 3 | 9 | 7 | 9 | 5 | 1 | 3 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 6 | 9 | 14 | 9 | 10 | 1 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 6 + 9 + 1 + 4 + 9 + 1 + 0 + 1 + 6 + 24 = 69 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 69 = 1 | 1 |
The NPI number 1639795131 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1609948314 | WILLIAM G FRANKLIN M.D. Individual | Family Medicine | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1427123900 | JOHN S KIM MD Individual | Family Medicine | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1184847972 | JAMES HOWARD PA Individual | Physician Assistant | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1295959211 | RALPH HADLEY JR. PA Individual | Physician Assistant | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1336363381 | KELLY SHOOK PA Individual | Physician Assistant | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1720332760 | MARGARET SUZANNE STEPHENS L.P.C. Individual | Counselor (Professional) | 4303 VICTORY DR AUSTIN, TX 78704 (512) 652-0143 |
1659639797 | ALISANDE DAVIS P.A. Individual | Physician Assistant | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1154490191 | TOTH ENTERPRISES II Organization | Family Medicine | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1730311465 | TOTH ENTERPRISES II Organization | Pharmacy (Community/Retail Pharmacy) | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1225063951 | GARY R ALBERTSON DO Individual | Allergy & Immunology | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1497197651 | KATHARINE HOPE JONES ARNP Individual | Nurse Practitioner (Family) | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1760479059 | DR. NATHAN HENRY PEKAR M.D. Individual | Family Medicine | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1164655171 | MR. SHAWN R AGENBROAD-ELANDER FNP-C Individual | Nurse Practitioner (Family) | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1205362555 | SHELLEY HARDIN SALINAS DPT Individual | Physical Therapist | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1689340168 | DR. LAUREN HARMEIER PT, DPT Individual | Physical Therapist | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1689159709 | SARAH ELIZABETH RICHTER Individual | Physician Assistant | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1396102604 | VALUE ORIENTED MEDICAL CLINIC PLLC Organization | Family Medicine | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1386364412 | PRIVIA MEDICAL GROUP GULF COAST PLLC Organization | Clinic/Center (Urgent Care) | 4303 VICTORY DR AUSTIN, TX 78704 (512) 462-3627 |
1073236139 | VICTORY MEDICAL CENTER PHARMACY Organization | Pharmacy (Community/Retail Pharmacy) | 4303 VICTORY DR AUSTIN, TX 78704 (512) 279-0985 |
1659613925 | DR. CATHERINE C KNAUB PHARMD. Individual | Pharmacist | 4303 VICTORY DR AUSTIN, TX 78704 (512) 279-0985 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639795131, enumerated in the NPI registry as an "individual" on June 19, 2020
The provider is located at 4303 Victory Dr Austin, Tx 78704 and the phone number is (512) 462-3627
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Imperial. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $89.03 with an average copayment of $22.25 for new patient appointments. Established patients should expect a typical charge of $101.65 and an average copayment of 25.41. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of moderate severity, Established patient office or other outpatient visit, 10-19 minutes, Professional service for multiple injections of allergen, Professional service for preparation and provision of 1 or more antigens and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.
This NPI record was last updated on June 19, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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