SARA ELIZABETH SHIVELY PA-C
NPI 1275768673
Physician Assistant in Pagosa Springs, CO

Q: What is Sara Shively's NPI number?

The NPI number for Sara Shively is 1275768673. It was assigned to this individual provider in the NPPES registry on May 29, 2009.

Q: What is Sara Shively's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Sara Shively was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 29, 2009PECOS EnrolledAccepts Medicare Assignment

52 VILLAGE DR, PAGOSA SPRINGS, CO 81147(970) 264-2104 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jan 14, 2016 (2 updates tracked since 2016).

On this page

About Sara Elizabeth Shively Pa-c NPPES

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

SARA ELIZABETH SHIVELY PA-C (NPI 1275768673) is an individual physician assistant in Pagosa Springs, Colorado, licensed in Colorado (PA.0003685) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1275768673

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSARA ELIZABETH SHIVELYCredential: PA-C

Location Address52 VILLAGE DRPagosa Springs, CO 81147-8368

Mailing AddressPo Box 1328Durango, CO 81302-1328 · (970) 335-2342

Phone(970) 264-2104

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMay 29, 2009

Last NPPES UpdateFebruary 11, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2026

✔ NPI 1275768673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in CO · PA.0003685✔ Licensed in NM · PA2015-0097

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

52 VILLAGE DR, Pagosa Springs, CO 81147

Open in Google Maps ↗

Secondary Practice Location 1

Location 15901 Harper Dr NE, PMG Urgent CareAlbuquerque, NM 87109-3587 · Phone (505) 823-8233 · Fax (505) 823-8059

Other Identifiers 1

Medicaid16531779NM

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

Sara Elizabeth 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 ID5799831178

PECOS Enrollment IDI20160127002259

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

49 services46 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

14 services14 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

14 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81147 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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 16

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

ZANE WESLEY BARNES CAS

Social Worker (Clinical)