WA · Healthcare shortage profile
Skagit County, WA
Home to 129,523 residents, with 12 active HRSA shortage designations.
- Active HPSAs
- 12
- Population
- 129,523
- Peak shortage score
- 18.0
- MUA Index
- -
Heavy-burden verdict
According to current HRSA Data Warehouse records, Skagit County ranks among the most underserved counties in the country - 12 active HPSA designations, more than 85% of the 3,289 real US counties, with primary care the deepest gap.
- 12
- Active HPSA designations
- 4
- Mental-health shortages
- 18
- Peak severity score (of 26)
- Top 15%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Skagit County, WA on its own pages , computed from the retained designation mirror as of 2026-08-03. Each line carries its own denominator so it can be quoted as it stands.
-
33.3% of Skagit County's 12 active designations are primary care.
Discipline mix from designated HPSA records only: 4 primary care, 4 mental health, 4 dental (denominator 12).
-
Closing Skagit County's active designations would take about 23 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 13 primary care, 4.3 mental health, 4.8 dental. This is the federal gap estimate, not a headcount of practising clinicians.
-
Peak HPSA score 18.0 clears HRSA's 17-point high-priority line.
Scores at or above 17 on the 0–25/26 scales open NHSC placement priority for the matching provider type; eligibility still follows the designated area, not the county boundary alone.
Skagit County vs. every real US county
Total active HPSA designations, including counties with none
12 Top 15% higher than 85% of 3,289 real US counties
Each bar is a band; taller bars hold more real US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source HRSA Data Warehouse, designated HPSAs · 2026
State peer position. Skagit County falls in the upper half of WA counties by active-designation volume, at rank 19 of 39. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 53057. Population: 129,523.
Peak severity scores
Current designated records only. No Medically Underserved Area designation covers Skagit County in the current HRSA release, federal support here runs through the HPSA route alone. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 12 active (designated) HPSAs in Skagit County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Swinomish Tribal Health Center | mental_health | 18.0 |
| Upper Skagit Tribal Clinic | primary_care | 17.0 |
| Swinomish Tribal Health Center | primary_care | 17.0 |
| Upper Skagit Tribal Clinic | mental_health | 16.0 |
| Skagit County | mental_health | 14.0 |
| Skagit County | primary_care | 13.0 |
| Swinomish Tribal Health Center | dental | 13.0 |
| Sauk-Suiattle Tribal Community Clinic | mental_health | 12.0 |
| Sauk-Suiattle Tribal Community Clinic | primary_care | 9.0 |
| Upper Skagit Tribal Clinic | dental | 7.0 |
| Sauk-Suiattle Tribal Community Clinic | dental | 7.0 |
| Skagit County | dental | 5.0 |
Heavy-burden reading for Skagit County
Skagit County's severest measured gap is in mental health, scored 18.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 17.0 of 25; Dental care reads 13.0 of 26. No Medically Underserved Area designation covers Skagit County, so federal support here runs through the HPSA route alone.
Volume places Skagit County above 85% of real US counties (12 active designations: 4 primary care, 4 mental health, 4 dental). Peak severity on the current designated set is 18.0. The table on this page lists the highest-severity records first so a reader can see which named facilities, geographies, or population groups drive that burden without treating the county total as a personal appointment forecast.
Skagit County falls in the upper half of WA counties by active-designation volume, at rank 19 of 39. Heavy-burden counties are where NHSC placement, Community Health Center grant geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the county boundary alone.
Skagit County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Primary care
Primary care
4 designations
- Mental health
Mental health
4 designations
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Skagit County, WA · 2026 HRSA designation data updated quarterly; HPSA scores 0-25 (primary/mental) and 0-26 (dental); higher = greater shortage severity. Coverage tiers from U.S. Census ACS PUMS + KFF state tracker.
Acting on a heavy-burden county
Skagit County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Skagit County's 12 active designations make providers here eligible for National Health Service Corps loan repayment, estimate the award and service terms. NHSC estimator
- See how the county's primary care burden compares with the rest of WA before you draw conclusions from a single score. WA overview
- Check whether an area clears HRSA's 3,500:1 population-to-provider threshold with the provider-to-population ratio behind an HPSA score. HPSA score lookup
HPSA scores describe shortage severity within HRSA's designation criteria, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; use HRSA's current tools to verify a designation.
Counties With a Similar Mental Health Shortage Score
Other U.S. counties whose active HRSA mental-health HPSA score is closest to Skagit County's 18.0. This compares the designation score only, not local appointment availability or care quality. Start with Cuyahoga County, OH and Adams County, CO.
Frequently Asked Questions
How many healthcare shortage areas does Skagit County have?
Skagit County, WA has 12 Health Professional Shortage Area designations: 4 in primary care, 4 in mental health, and 4 in dental care, according to HRSA data.
Is Skagit County a Medically Underserved Area?
Skagit County does not currently have a Medically Underserved Area (MUA) designation from HRSA. However, the county may still have individual HPSA designations for specific provider types.
What does Skagit County's HPSA score of 18.0 mean?
18.0 in mental health clears 17, HRSA's high-priority line, which is what makes providers here eligible for NHSC placement and enhanced reimbursement.
What healthcare providers are needed in Skagit County?
Based on HRSA shortage designations, Skagit County needs additional providers in primary care (family physicians, internists, pediatricians), mental health (psychiatrists, psychologists, clinical social workers), and dental care (dentists, dental hygienists). The National Health Service Corps offers loan repayment and scholarship programs for providers who serve in designated shortage areas.
Which federal programs do Skagit County's designations unlock?
Skagit County's 12 active designations open NHSC placement, Community Health Center grants, the Medicare bonus and J-1 waivers, but eligibility follows the designated area and provider type, not the county line.
How does Skagit County compare to other counties in WA?
Skagit County has 12 total HPSA designations with a peak shortage score of 18.0. You can compare shortage levels across all counties in WA on the state overview page, or view national county rankings to see where Skagit County stands relative to the rest of the country. Score-nearest counties on this release include Cuyahoga County, OH and Adams County, CO.
Learn More About Healthcare Shortages
Source: HRSA Data Warehouse. FIPS: 53057. PlainHealthAccess is not affiliated with HRSA or any government agency.
Disclaimer: This information is provided for informational purposes only and does not constitute professional advice. Data is sourced from the HRSA Data Warehouse. Consult a qualified professional before making decisions based on this data.
Read our methodology - how this data is sourced, computed, and verified.
Verify with U.S. Census Bureau →
Every figure on PlainHealthAccess is rendered directly from HRSA source data, no number is typed in by an editor. This page counts active HPSA rows for FIPS 53057 (Skagit County, WA) from the current HRSA release and places that total among all real US counties. Designations describe federal shortage criteria, not appointment availability or care quality for any person. See our editorial standards & corrections policy, the methodology behind these numbers, review the public data changelog, or report a data issue for this page. Data current as of 2026-08-03.