SHERROD SHIVELEY MD
NPI 1902990948
Internal Medicine in Tacoma, WA
About Sherrod Shiveley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHERROD SHIVELEY MD (NPI 1902990948) is an individual internal medicine provider in Tacoma, Washington, licensed in Washington (MD00042247) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Northern Nevada Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sherrod Shiveley Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Sherrod Shiveley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sparks, NV 89434
- Reassigned Medicare billing, Nevada enrollment
- 138 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Nevada Medical Center
Acute Care Hospitals · Sparks, NVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98405 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TACOMA, WA 98405
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 Sherrod Shiveley's NPI number?
The NPI number for Sherrod Shiveley is 1902990948. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is Sherrod Shiveley located?
Sherrod Shiveley practices at 1717 S J St, Tacoma, WA 98405. The listed phone number is (253) 426-6341.
What is Sherrod Shiveley's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sherrod Shiveley enrolled in Medicare?
Yes. Sherrod Shiveley 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.
Which organization bills Medicare for Sherrod Shiveley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sherrod Shiveley reassigns Medicare benefits to Northern Nevada Medical Group, LLC (Sparks, NV). The 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 Sherrod Shiveley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sherrod Shiveley affiliated with any hospitals?
According to CMS data, Sherrod Shiveley is affiliated with Northern Nevada Medical Center.
When was this NPI record last updated?
The NPPES record for Sherrod Shiveley was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Sherrod Shiveley, MD · NPI 1902990948
Internal Medicine physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1902990948 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD00042247 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1717 S J ST, Tacoma, WA 98405-4933
- **Phone:** (253) 426-6341 · **Fax:** (253) 426-6344
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northern Nevada Medical Group, LLC (NPI 1972751618, Sparks, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 2000
## Record status
- **NPPES last updated:** November 16, 2010
- **Other identifiers:** Other 8909714 (WA); Medicare UPIN H96532; Medicare PIN G8864867 (WA); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1902990948) · Data from the CMS NPPES public registry.