JOYCE ANN SHIVELY – Family Nurse Practitioner, NPI 1962774166

JOYCE ANN SHIVELY is a healthcare provider. based in Emporia, Kansas. specializing in NURSE PRACTITIONER. They hold a License No. 144281 (KS). The NPI Number for JOYCE ANN SHIVELY is 1962774166

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JOYCE ANN SHIVELY
NPI
1962774166
Phone
(620) 342-4864
Address
420 W 15TH AVE
Enumeration Date
2 February 2012
Last Update Date
2 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6203432376
Graduation Year
2011 (15 years ago)
PAC ID
5294995684
Group Practice PAC ID
5193638526
Professional Enrollment ID
I20120321000856
Address ID
KS668012590EM1301XANDX601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for JOYCE ANN SHIVELY

  • 420 W 15TH AVE

    EMPORIA, KS 668015367

    Phone: (620) 342-4864

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Insulet Corporation ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Insulet Corporation$23
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120321000856INurse PractitionerKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66801)

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Provider's Procedures

JOYCE ANN SHIVELY performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERKS83036Hemoglobin A1C level2415

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193638526View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Hospitalist, Family PracticeKS
General SurgeryKS
-KS
O B S T E T R I C S/ G Y N E C O L O G YKS
Certified Registered Nurse Anesthetist (Crna)KS
Nurse PractitionerKS
General SurgeryKS
Physician AssistantKS
Physician AssistantKS

Reviews

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Frequently asked questions

What federal number belongs to JOYCE ANN SHIVELY?
The federal identifier for JOYCE ANN SHIVELY is NPI 1962774166.
Is JOYCE ANN SHIVELY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JOYCE ANN SHIVELY?
The page reflects Family Nurse Practitioner for JOYCE ANN SHIVELY. Clinical services aligned with this taxonomy classification.
Does JOYCE ANN SHIVELY practice in Kansas?
You will see Emporia, Kansas on file for JOYCE ANN SHIVELY alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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