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STEWART CRAIG SHIVELY PA-C
NPI 1194840520
Physician Assistant - Surgical in Everett, WA

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
1321 COLBY AVE, EVERETT, WA 98201(425) 261-2000 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stewart Craig Shively Pa-c NPPES

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

STEWART CRAIG SHIVELY PA-C (NPI 1194840520) is an individual surgical provider in Everett, Washington, licensed in Washington (PA10003914) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1194840520
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameSTEWART CRAIG SHIVELYCredential: PA-C
Location Address1321 COLBY AVEEverett, WA 98201-1665
Mailing AddressPo Box 3360Portland, OR 97208-3360 · (866) 366-2983
Phone(425) 261-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 21, 2007
Last NPPES UpdateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1194840520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WA · PA10003914
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA10003914 (WA)
1321 COLBY AVE, Everett, WA 98201
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Other Names 1

Other Name (5)S Craig Shively

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stewart Craig Shively Pa-c 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 ID3072669845
PECOS Enrollment IDI20090918000521
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.

Hospital Affiliations CMS Care Compare

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

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500014
Location1321 Colby AvenueEverett, WA 98201 · Snohomish County
Emergency services Birthing friendly

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.

SAMUEL ROB GUYER MD
Surgery (Trauma Surgery)
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-2000
DR. EDWARD SCOTT CASSELMAN MD
Radiology (Diagnostic Radiology)
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-4100
LINDSY J ALANIS MD
Internal Medicine
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-2000
JAMES RAYMOND LARSON
Anesthesiology
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 258-3678
CREDENA HEALTH LLC
Pharmacy (Community/Retail Pharmacy)
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-3555
MICHELLE HOPSTAD OTR/L
Occupational Therapist
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-3825
ARUNACHALAM EINSTEIN MD
Emergency Medicine
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-2000
ROBERT E VANVALKENBURGH
Anesthesiology
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 258-3678

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 Stewart Shively's NPI number?

The NPI number for Stewart Shively is 1194840520. It was assigned to this individual provider in the NPPES registry on March 21, 2007. The provider is also known as S Craig Shively.

Where is Stewart Shively located?

Stewart Shively practices at 1321 Colby Ave, Everett, WA 98201. The listed phone number is (425) 261-2000.

What is Stewart Shively's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Stewart Shively enrolled in Medicare?

Yes. Stewart 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.

What insurance does Stewart Shively accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Stewart Shively as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stewart Shively affiliated with any hospitals?

According to CMS data, Stewart Shively is affiliated with Providence Regional Medical Center Everett.

When was this NPI record last updated?

The NPPES record for Stewart Shively was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.