SARA ELIZABETH SHIVELY (PA-C) – Physician Assistant, NPI 1275768673
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
892 PHYSICIAN ASSISTANT in NM
Provider Addresses for SARA ELIZABETH SHIVELY (PA-C)
PO BOX 26666
PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 871256666
Phone: (505) 923-6770
Fax: (505) 923-5354
Type: Mailing
5901 Harper Dr NE
PMG Urgent Care
Albuquerque, NM 871093587
Phone: (505) 823-8233
Fax: (505) 823-8059
Type: Location
Presbyterian Medical Group Northside Urgent Care, 5901, Harper Drive Northeast, Albuquerque, Bernalillo County, New Mexico, 87109, United States
PMG URGENT CARE
ALBUQUERQUE, NM 871093587
Phone: (505) 823-8233
Fax: (505) 823-8059
Type: Location
PO BOX 1328
DURANGO, CO 813021328
Phone: (970) 335-2342
Type: Mailing
52 VILLAGE DR
PAGOSA SPRINGS, CO 811478368
Phone: (970) 264-2104
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2013-06-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130618000086 | I | Physician Assistant | CO | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 237 | 198 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 84 | 84 | $0 |
| 81003 | Automated urinalysis test | 72 | 66 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 30 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 30 | 29 | $0 |
Insurance plans in this area (ZIP 87125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Physician Assistant | CO | |
| Mental Health Counselor | CO | |
| - | CO | |
| Mental Health Counselor | CO | |
| - | CO | |
| Emergency Medicine | NC | |
| Physician Assistant | CA | |
| Nurse Practitioner | CO | |
| - | CO |
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