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KERRIE A SHIVELY
NPI 1134051634
Counselor - Professional in Williamsburg, VA

Active since June 01, 2026PECOS Enrolled
1158 PROFESSIONAL DR STE G, WILLIAMSBURG, VA 23185(757) 349-6463 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Kerrie A Shively NPPES

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

KERRIE A SHIVELY (NPI 1134051634) is an individual professional provider in Williamsburg, Virginia, licensed in Virginia (0701016236) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134051634
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKERRIE A SHIVELY
Location Address1158 PROFESSIONAL DR STE GWilliamsburg, VA 23185-6618
Mailing Address1158 Professional Dr Ste GWilliamsburg, VA 23185-6618 · (757) 349-6463
Phone(757) 349-6463
Sole ProprietorNo
Enumeration DateJune 1, 2026
NPPES CertifiedJune 1, 2026
✔ NPI 1134051634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701016236
1158 PROFESSIONAL DR STE G, Williamsburg, VA 23185
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerrie A Shively is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

MS. LAURA CAITLIN MANGELSDORF LCSW
Social Worker (Clinical)
1158 PROFESSIONAL DR STE G
WILLIAMSBURG, VA 23185
York County (757) 713-6017

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 Kerrie Shively's NPI number?

The NPI number for Kerrie Shively is 1134051634. It was assigned to this individual provider in the NPPES registry on June 1, 2026.

Where is Kerrie Shively located?

Kerrie Shively practices at 1158 Professional Dr Ste G, Williamsburg, VA 23185. The listed phone number is (757) 349-6463.

What is Kerrie Shively's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kerrie Shively enrolled in Medicare?

Yes. Kerrie Shively is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerrie Shively was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.