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SIERRA SHIVELY CRNA
NPI 1124831730
Nurse Anesthetist, Certified Registered in Manchester, NH

Active since January 28, 2025PECOS EnrolledAccepts Medicare Assignment
100 MCGREGOR ST, MANCHESTER, NH 03102(603) 668-3545 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sierra Shively Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIERRA SHIVELY CRNA (NPI 1124831730) is an individual nurse anesthetist, certified registered in Manchester, New Hampshire, licensed in New Hampshire (113546-23) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Catholic Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124831730
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSIERRA SHIVELYCredential: CRNA
Location Address100 MCGREGOR STManchester, NH 03102-3770
Mailing Address2 Stagecoach LnBedford, NH 03110-5505 · (303) 956-6595
Phone(603) 668-3545
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 28, 2025
Last NPPES UpdateFebruary 7, 2025
NPPES CertifiedFebruary 7, 2025
✔ NPI 1124831730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NH · 113546-23
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
100 MCGREGOR ST, Manchester, NH 03102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sierra Shively Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325560568
PECOS Enrollment IDI20250318001007
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sierra Shively reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Granite State Anesthesia Partners, LLC
Same address
Anesthesiology
100 MCGREGOR ST
Manchester, NH 03102
  • Reassigned Medicare billing, New Hampshire enrollment
  • 57 clinicians in this Medicare group
NPI 1821815010 (800) 437-9666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Catholic Medical Center

Acute Care Hospitals · Manchester, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300034
Location100 Mcgregor StreetManchester, NH 03102 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHOLIC MEDICAL CENTER
Anesthesiology
100 MCGREGOR ST
MANCHESTER, NH 03102
Hillsborough County (603) 663-6180
MRS. CRYSTAL ANN PROULX MSRD, LD, CNSD
Dietitian, Registered
100 MCGREGOR ST
MANCHESTER, NH 03102
Hillsborough County (603) 663-6507
MRS. VALERIE A CHAMES RD, CDE
Dietitian, Registered
100 MCGREGOR ST
MANCHESTER, NH 03102
Hillsborough County (603) 663-6931
DR. MARY ELIZABETH PIERCE DMD
Dentist (General Practice)
100 MCGREGOR ST
MANCHESTER, NH 03102
Hillsborough County (603) 663-6226
MS. DEBORAH FREEMAN RDLD
Dietitian, Registered
100 MCGREGOR ST
MANCHESTER, NH 03102
Hillsborough County (603) 663-6422
BETHANY PEATTIE CRNA
Nurse Anesthetist, Certified Registered
100 MCGREGOR ST
MANCHESTER, NH 03102
Hillsborough County (603) 668-3545
MRS. ERIN ELIZABETH MCDONOUGH DNP, APRN
Nurse Practitioner (Acute Care)
100 MCGREGOR ST
MANCHESTER, NH 03102
Hillsborough County (603) 663-6401
NYCOL CLOUGH APRN
Nurse Practitioner (Acute Care)
100 MCGREGOR ST
MANCHESTER, NH 03102
Hillsborough County (603) 663-6070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sierra Shively's NPI number?

The NPI number for Sierra Shively is 1124831730. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Sierra Shively located?

Sierra Shively practices at 100 Mcgregor St, Manchester, NH 03102. The listed phone number is (603) 668-3545.

What is Sierra Shively's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Sierra Shively enrolled in Medicare?

Yes. Sierra Shively is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sierra Shively's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sierra Shively reassigns Medicare benefits to Granite State Anesthesia Partners, LLC (Manchester, NH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sierra Shively's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sierra Shively affiliated with any hospitals?

According to CMS data, Sierra Shively is affiliated with Catholic Medical Center.

When was this NPI record last updated?

The NPPES record for Sierra Shively was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.