Joyce Ann Shively

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

144281 Issued in KS

Practice address

420 W 15TH Ave
Emporia, KS 66801-5367

Phone

(620) 342-4864

NPI assigned

Feb 2, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newman Memorial County HospitalGroup PAC ID 5193638526, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coffey County Hospital Hospital, Burlington, KS, CCN 171385
• Newman Regional Health Hospital, Emporia, KS, CCN 171384

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joyce.shively@newmanrhdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Newman Memorial County Hospital

  • Rural Health Clinic/Center
  • Emporia, KS
  • NPI 1114085594

  KS

  Medicare reassignment Care Compare group NPD
• Carearc, Inc.

  • Federally Qualified Health Center (FQHC)
  • Emporia, KS
  • NPI 1467413906
  NPD
• Newman Memorial County Hospital

  • Urgent Care Clinic/Center
  • Emporia, KS
  • NPI 1922306729
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coffey County Hospital

  • Critical Access Hospital
  • Burlington, KS
  • NPI 1376548370

  Hospital

  Care Compare affiliation
• Newman Memorial County Hospital

  • Critical Access Hospital
  • Emporia, KS
  • NPI 1245643576

  Hospital

  Care Compare affiliation
• Newman Memorial County Hospital

  • Urgent Care Clinic/Center
  • Emporia, KS
  • NPI 1922306729

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1962774166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015367",
            "telephone_number": "620-342-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015367",
            "telephone_number": "620-342-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVELY",
        "first_name": "JOYCE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "144281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora C Seacat, PT, DPT
• Eric Michael Sears
• John B Setterstrom, DC
• Robert G Shank, OD TMOD TPA
• Hyun Chan Shin
• Joshua Shrader, MD
• Renee Rachelle Sinclair, CRNA MAE
• Shari S Sippola, LPC
• Timothy Sippola, PH.D.
• Gina M Slayden

• All providers in Emporia, KS
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.