REBECCA SHIVELY – Family Nurse Practitioner, NPI 1508920935

REBECCA SHIVELY is a healthcare provider. based in San marcos, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 619413 (TX). The NPI Number for REBECCA SHIVELY is 1508920935

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA SHIVELY
NPI
1508920935
Phone
(512) 396-1000
Address
601 LEAH AVE
Enumeration Date
20 December 2006
Last Update Date
3 September 2021

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
5123963911
Graduation Year
1995 (31 years ago)
PAC ID
4587721568
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20090318000318
Address ID
TX786667558SA1320XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for REBECCA SHIVELY

  • 601, Leah Avenue, Mockingbird Hills, San Marcos, Hays County, Texas, 78666, United States

    SAN MARCOS, TX 786667849

    Phone: (512) 396-1000

    Fax: (512) 353-2554

    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)

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: 2009-03-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090318000318INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes194120$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit101101$0
99213Established patient office or other outpatient visit, 20-29 minutes4942$0
83036Hemoglobin a1c level2722$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 78666)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

How is REBECCA SHIVELY identified in CMS data?
CMS-hosted NPPES data lists REBECCA SHIVELY with NPI 1508920935.
Is REBECCA SHIVELY still practicing?
REBECCA SHIVELY is currently listed as active in the public NPI registry.
What is REBECCA SHIVELY's specialty?
The listing groups REBECCA SHIVELY with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does REBECCA SHIVELY list a practice location?
Patients near San Marcos, Texas may find REBECCA SHIVELY in results; validate coverage separately.
Why does REBECCA SHIVELY have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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