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MRS. SHANNON NICOLE FORLIVIO PA-C
NPI 1316660558
Physician Assistant in Boston, MA

Active since September 22, 2022PECOS EnrolledAccepts Medicare Assignment
1 BOSTON MEDICAL CTR PL # C500, BOSTON, MA 02118(617) 638-8609(617) 638-8607 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2023, Sep 22, 2022 (2 updates tracked since 2022).

About Mrs. Shannon Nicole Forlivio Pa-c NPPES

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

MRS. SHANNON NICOLE FORLIVIO PA-C (NPI 1316660558) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PS9068) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2022).

NPPES Registry Identity

NPI1316660558
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. SHANNON NICOLE FORLIVIOCredential: PA-C
Location Address1 BOSTON MEDICAL CTR PL # C500Boston, MA 02118-2908
Mailing Address960 Massachusetts Avenue, Fl 2Boston, MA 02118
Phone(617) 638-8609
Fax(617) 638-8607
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2022
Enumeration DateSeptember 22, 2022
Last NPPES UpdateSeptember 15, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2023
✔ NPI 1316660558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PS9068
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.
1 BOSTON MEDICAL CTR PL # C500, Boston, MA 02118
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Other Identifiers 1

Medicaid110192751AMA

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

Mrs. Shannon Nicole Forlivio 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 ID6901279041
PECOS Enrollment IDI20230310000778
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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

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

BOSTON UNIVERSITY GENERAL SURGICAL ASSOCIATES, INC.
Surgery
1 BOSTON MEDICAL CTR PL # C500
BOSTON, MA 02118
Suffolk County (617) 638-8605

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 Shannon Forlivio's NPI number?

The NPI number for Shannon Forlivio is 1316660558. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Where is Shannon Forlivio located?

Shannon Forlivio practices at 1 Boston Medical Ctr Pl # C500, Boston, MA 02118. The listed phone number is (617) 638-8609.

What is Shannon Forlivio's specialty?

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

Is Shannon Forlivio enrolled in Medicare?

Yes. Shannon Forlivio 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.

When was this NPI record last updated?

The NPPES record for Shannon Forlivio was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.