MRS. HOLLY K SHIVELY ARNP
NPI 1508136359
Nurse Practitioner - Women's Health in Tallahassee, FL
About Mrs. Holly K Shively Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. HOLLY K SHIVELY ARNP (NPI 1508136359) is an individual women's health provider in Tallahassee, Florida, licensed in Florida (ARNP9170049) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Smyrna, and is a graduate of University Of Cincinnati College Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Holly K Shively Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Holly Shively reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Walton Beach, FL 32547
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Diana Health Fl, PA
- 98 clinicians in this Medicare group
Tampa, FL 33607
- Reassigned Medicare billing, Florida enrollment
- 802 clinicians in this Medicare group
Smyrna, TN 37167
- Reassigned Medicare billing, Tennessee enrollment
- 109 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TALLAHASSEE, FL 32308
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 Holly Shively's NPI number?
The NPI number for Holly Shively is 1508136359. It was assigned to this individual provider in the NPPES registry on January 11, 2012.
Where is Holly Shively located?
Holly Shively practices at 3217 Capital Medical Blvd, Tallahassee, FL 32308. The listed phone number is (850) 320-7693.
What is Holly Shively's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Holly Shively enrolled in Medicare?
Yes. Holly Shively is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Holly Shively's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Shively reassigns Medicare benefits to 3 organizations: Diana Health Fl P.A. (Fort Walton Beach, FL), Florida Woman Care, LLC (Tampa, FL) and Diana Health Tn, PC (Smyrna, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Shively's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Shively accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna Healthcare and UnitedHealthcare and 1 other insurer list Holly 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.
When was this NPI record last updated?
The NPPES record for Holly Shively was last updated on April 10, 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.
# Mrs. Holly K Shively, ARNP · NPI 1508136359
Women's Health physician in Tallahassee, Florida. Individual provider, active in the CMS NPPES registry since January 11, 2012.
## Identity
- **NPI:** 1508136359 (Entity type: Individual)
- **Enumerated:** January 11, 2012
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** ARNP9170049 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3217 CAPITAL MEDICAL BLVD, Tallahassee, FL 32308-4413
- **Phone:** (850) 320-7693
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Diana Health Fl P.A. (NPI 1194591966, Fort Walton Beach, FL); Florida Woman Care, LLC (NPI 1386823243, Tampa, FL); Diana Health Tn, PC (NPI 1457020844, Smyrna, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2011
## Record status
- **NPPES last updated:** April 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1508136359) · Data from the CMS NPPES public registry.