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AMY MARIE SHIVELY
NPI 1457992331
Physician Assistant in Cincinnati, OH

Active since October 02, 2019PECOS Enrolled
375 DIXMYTH AVE, CINCINNATI, OH 45220(248) 872-2151 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2023, Oct 7, 2022, Apr 26, 2021 and 2 more (5 updates tracked since 2019).

About Amy Marie Shively NPPES

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

AMY MARIE SHIVELY (NPI 1457992331) is an individual physician assistant in Cincinnati, Ohio, licensed in Michigan (5601009605) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457992331
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY MARIE SHIVELY
Location Address375 DIXMYTH AVECincinnati, OH 45220-2475
Mailing Address375 Dixmyth AveCincinnati, OH 45220-2475
Phone(248) 872-2151
Sole ProprietorNo
Enumeration DateOctober 2, 2019
Last NPPES UpdateJanuary 5, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1457992331 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 MI · 5601009605
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.
375 DIXMYTH AVE, Cincinnati, OH 45220
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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)

Amy Marie 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

ERYNNE HAMILTON ARPN
Nurse Practitioner (Neonatal)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-2514
VICTORIA ELIZABETH SIMON MD
Student in an Organized Health Care Education/Training Program
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-3562
JACOB CANNAN
Pharmacist (Critical Care)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-1400
MR. CASEY MCCONNELL GILMORE PA-C
Physician Assistant
375 DIXMYTH AVE, DEPARTMENT OF EMERGENCY MEDICINE
CINCINNATI, OH 45220
Hamilton County (513) 862-2989
ABIGAIL FAITH SOUTHALL APRN, AGACNP
Nurse Practitioner (Acute Care)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-1400
JAMES M MERANUS MD
Radiology (Diagnostic Radiology)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 965-8041
DR. COLLIN MICHAEL HERMAN MD
Psychiatry & Neurology (Neurology)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 865-2246
CHASE GREEN DO
Student in an Organized Health Care Education/Training Program
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-3562

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 Amy Shively's NPI number?

The NPI number for Amy Shively is 1457992331. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Amy Shively located?

Amy Shively practices at 375 Dixmyth Ave, Cincinnati, OH 45220. The listed phone number is (248) 872-2151.

What is Amy Shively's specialty?

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

Is Amy Shively enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amy Shively was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.