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LILLIAN G SHIVELY PA-C
NPI 1972108280
Physician Assistant in Jerseyville, IL

Active since December 03, 2020PECOS EnrolledAccepts Medicare Assignment
270 MAPLE SUMMIT RD, MCDOW BLDG, JERSEYVILLE, IL 62052(618) 498-7108(618) 498-7919 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2024, Nov 9, 2021, Dec 3, 2020 (3 updates tracked since 2020).

About Lillian G Shively Pa-c NPPES

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

LILLIAN G SHIVELY PA-C (NPI 1972108280) is an individual physician assistant in Jerseyville, Illinois, licensed in Illinois (085007743) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Jersey Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972108280
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLILLIAN G SHIVELYCredential: PA-C
Location Address270 MAPLE SUMMIT RD, MCDOW BLDGJerseyville, IL 62052
Mailing Address390 Maple Summit RdJerseyville, IL 62052-2000 · (618) 498-7518 · Fax (618) 498-3052
Phone(618) 498-7108
Fax(618) 498-7919
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 3, 2020
Last NPPES UpdateNovember 13, 20243 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1972108280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085007743
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
270 MAPLE SUMMIT RD, Jerseyville, IL 62052
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Other Names 1

Former Name (1)Lillian G Tepen

Secondary Practice Locations 2

Location 1903 S State StJerseyville, IL 62052-2344 · Phone (618) 639-9255 · Fax (618) 639-8100
Location 2390 Maple Summit Rd, Illini BldgJerseyville, IL 62052 · Phone (618) 498-2101 · Fax (618) 498-8153

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

Lillian G Shively Pa-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 ID6608280375
PECOS Enrollment IDI20210121000934
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.

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140059
Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62052 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims20 services$6.28 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims2,099 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers13 claims13 services$23.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

METODIA J WEBSTER MD
Psychiatry & Neurology (Psychiatry)
270 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 639-9952
MISS SONYA R SCHLEEPER M.D.
Family Medicine
270 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-7108
DONALD E MURRAY MD
Internal Medicine
270 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-7108
JERSEY COMMUNITY HOSPITAL
Clinic/Center (Rural Health)
270 MAPLE SUMMIT RD, MCDOW BLDG
JERSEYVILLE, IL 62052
Jersey County (618) 498-7108
MEDICAL ASSOCIATES OF JERSEYVILLE, LTD.
Family Medicine
270 MAPLE SUMMIT RD, MCDOW BUILDING
JERSEYVILLE, IL 62052
Jersey County (618) 498-7108
DUSTIN STEWART
Family Medicine
270 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-7108
HUANG SURGICAL CLINIC LTD.
Surgery
270 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-5722
DR. TIM C KISABETH MD
Obstetrics & Gynecology
270 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-4166

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 Lillian Shively's NPI number?

The NPI number for Lillian Shively is 1972108280. It was assigned to this individual provider in the NPPES registry on December 3, 2020. The provider is also known as Lillian G Tepen.

Where is Lillian Shively located?

Lillian Shively practices at 270 Maple Summit Rd Mcdow Bldg, Jerseyville, IL 62052. The listed phone number is (618) 498-7108.

What is Lillian Shively's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lillian Shively enrolled in Medicare?

Yes. Lillian Shively 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.

Is Lillian Shively affiliated with any hospitals?

According to CMS data, Lillian Shively is affiliated with Jersey Community Hospital.

When was this NPI record last updated?

The NPPES record for Lillian Shively was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.