CHERYL SHIVELY FNP-C
NPI 1649840521
Nurse Practitioner - Family in Logansport, IN

Q: What is Cheryl Shively's NPI number?

The NPI number for Cheryl Shively is 1649840521. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Q: What is Cheryl Shively's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Cheryl Shively was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 01, 2021PECOS EnrolledAccepts Medicare Assignment

1101 MICHIGAN AVE, LOGANSPORT, IN 46947(574) 753-7541 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Cheryl Shively Fnp-c NPPES

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

CHERYL SHIVELY FNP-C (NPI 1649840521) is an individual family provider in Logansport, Indiana, licensed in Indiana (28168027A) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649840521

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCHERYL SHIVELYCredential: FNP-C

Location Address1101 MICHIGAN AVELogansport, IN 46947-1528

Mailing Address1921 N 3rd StLogansport, IN 46947-1010 · (765) 860-2063

Phone(574) 753-7541

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 1, 2021

NPPES CertifiedJuly 1, 2021

✔ NPI 1649840521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 28168027A

1101 MICHIGAN AVE, Logansport, IN 46947

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Cheryl Shively Fnp-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 ID5698171361

PECOS Enrollment IDI20210903000425

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.

Memorial Hospital

Acute Care Hospitals · Logansport, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150072

Location1101 Michigan AveLogansport, IN 46947 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46947 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

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.

WABASH EM I MEDICAL SERVICES PC

Physician Assistant