Individual provider Active NPI

Smita Sikhrakar, AGPCNP

  • Gerontology Nurse Practitioner
  • Richland, WA
National Provider Identifier
1124596762
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP60919285 Issued in WA
Practice address
560 Gage Blvd Ste 102
Richland, WA 99352-9531
Phone
(509) 642-3135
Fax
(509) 627-1188
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60919284 WA
Adult Health Nurse Practitioner 363LA2200X AP60919285 WA
Gerontology Nurse Practitioner 363LG0600X AP60919285 WA Primary
Registered Nurse 163W00000X 228257-30 WI

Addresses

Primary practice location

560 Gage Blvd Ste 102
Richland, WA 99352-9531

Mailing address

560 Gage Blvd Ste 102
Richland, WA 99352-9531
Phone (509) 642-3135

Other practice location 1

911 S Washington St
Kennewick, WA 99336-5600
Phone (509) 942-2288

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssikhrakar1109792@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190411001254 WA Practitioner - Nurse Practitioner 0648511089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

560 Gage Blvd
Suite 102
Richland, WA 99352-9531
Phone (509) 942-3135

Hospital & facility affiliations

  • Tri-Cities Home Health Home health agency, Kennewick, WA, CCN 507010
  • Columbia River Home Health Home health agency, Kennewick, WA, CCN 507061
  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
  • Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312
  • Lourdes Medical Center Hospital, Pasco, WA, CCN 501337
  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN60919284WAMDRegistered Nurse
228257-30WIMDRegistered Nurse
AP60919285WAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Jan 17, 2019 Accepting new patients
Kadlec Regional Medical Center CurrentSince Jan 17, 2019 Accepting new patients

Locations

911 S Washington St
Kennewick, WA 99336
Phone (509) 586-2828

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

560 Gage Blvd
Ste 102
Richland, WA 99352
Phone (509) 628-1911

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

550 Gage Blvd
Ste 101
Richland, WA 99352

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1124596762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 GAGE BLVD STE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529531",
            "telephone_number": "509-642-3135",
            "fax_number": "509-627-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 GAGE BLVD STE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529531",
            "telephone_number": "509-642-3135",
            "fax_number": "509-627-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993365600",
            "country_code": "US",
            "telephone_number": "509-942-2288",
            "fax_number": "509-942-2147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIKHRAKAR",
        "first_name": "SMITA",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60919284",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60919285",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60919285",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "228257-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssikhrakar1109792@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "560 Gage Blvd Ste 102",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993529531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.