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MICHELLE LEE SHIVELY FNP-C
NPI 1679030829
Nurse Practitioner - Family in Bulls Gap, TN

Active since February 25, 2019PECOS Enrolled
363 PILOT MOUNTAIN RD, BULLS GAP, TN 37711(423) 754-3746 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2019, Feb 25, 2019 (2 updates tracked since 2019).

About Michelle Lee Shively Fnp-c NPPES

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

MICHELLE LEE SHIVELY FNP-C (NPI 1679030829) is an individual family provider in Bulls Gap, Tennessee, licensed in Tennessee (25495) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679030829
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE LEE SHIVELYCredential: FNP-C
Location Address363 PILOT MOUNTAIN RDBulls Gap, TN 37711-2322
Mailing AddressPo Box 4000Mountain Home, TN 37684-4000 · (423) 926-1171 · Fax (423) 979-3558
Phone(423) 754-3746
Sole ProprietorNo
Enumeration DateFebruary 25, 2019
Last NPPES UpdateMay 1, 20192 updates tracked since enumeration
✔ NPI 1679030829 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 TN · 25495
363 PILOT MOUNTAIN RD, Bulls Gap, TN 37711
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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)

Michelle Lee Shively Fnp-c 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 37711 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Michelle Shively's NPI number?

The NPI number for Michelle Shively is 1679030829. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Where is Michelle Shively located?

Michelle Shively practices at 363 Pilot Mountain Rd, Bulls Gap, TN 37711. The listed phone number is (423) 754-3746.

What is Michelle Shively's specialty?

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

Is Michelle Shively enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michelle Shively was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.