1. Home
  2. Directory
  3. Arizona
  4. Flagstaff
  5. Nurse Practitioner
  6. NPI Profile

SHANNON LYONS BOFFELI APRN
NPI 1861582447
Nurse Practitioner in Flagstaff, AZ

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
107 E OAK AVE, FLAGSTAFF, AZ 86001(928) 779-7880 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2023, Jan 5, 2023, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Shannon Lyons Boffeli Aprn NPPES

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

SHANNON LYONS BOFFELI APRN (NPI 1861582447) is an individual nurse practitioner in Flagstaff, Arizona, licensed in Arizona (291176) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1861582447
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON LYONS BOFFELICredential: APRN
Location Address107 E OAK AVEFlagstaff, AZ 86001-1818
Mailing Address1200 N Beaver StFlagstaff, AZ 86001-3118 · (928) 213-6235
Phone(928) 779-7880
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 13, 2006
Last NPPES UpdateAugust 22, 20235 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1861582447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in AZ · 291176✔ Licensed in UT · 374115-4408✔ Licensed in NV · APRN002370
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
107 E OAK AVE, Flagstaff, AZ 86001
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1590 Wakara WaySalt Lake City, UT 84108-1200 · Phone (801) 587-7100
Location 22231 W. Charleston BlvdLas Vegas, NV 89102 · Phone (702) 383-2662 · Fax (702) 383-2682

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Shannon Lyons Boffeli Aprn 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 ID8527046374
PECOS Enrollment IDI20230512000785
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services51 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

ZACHARY SCOTT HINGER PA-C
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7880
ERIN H ENGEL PA-C
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7880
RYAN INTERNAL MEDICINE PC
Internal Medicine
107 E OAK AVE, SUITE 202
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2560
MS. JULIE MARIE POLZIN RN, NP-C
Nurse Practitioner (Family)
107 E OAK AVE, SUITE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800
KIMBERLY SARGENT PA
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7880
CHARLES SMITH MD
Family Medicine
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800
MR. RAYMOND WOLFGANG LIEBER PA-C
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7880
BRANDON CLARK DO
Orthopaedic Surgery
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7880

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 Boffeli's NPI number?

The NPI number for Shannon Boffeli is 1861582447. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Shannon Boffeli located?

Shannon Boffeli practices at 107 E Oak Ave, Flagstaff, AZ 86001. The listed phone number is (928) 779-7880.

What is Shannon Boffeli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Boffeli enrolled in Medicare?

Yes. Shannon Boffeli 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.

What insurance does Shannon Boffeli accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Shannon Boffeli 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 Shannon Boffeli was last updated on August 22, 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.