Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shelby Joy Sackett, PA-C

Individual provider Surgical Physician Assistant · NPI 1558092759

Shelby Joy Sackett, PA-C is a Physician Assistant in Medford, Oregon. Qualified in 2023, 3 years ago. Practices with Providence Health and Services Oregon, a 164-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1698 E McAndrews Rd Ste 400
Medford, OR 97504-5590
Phone: (541) 732-7874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA218037 (OR)

Record details

NPI number1558092759
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 20, 2022
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Providence Health And Services Oregon — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Medford