Cheryl Shively, FNP-C in Logansport, IN - Medicare Nurse Practitioner

Cheryl Shively, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Logansport, Indiana. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Hospital and her current practice location is 1101 Michigan Ave, Logansport, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 753-7541.

Cheryl Shively is licensed to practice in Indiana (license number 28168027A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649840521.

Contact Information

	Cheryl Shively, FNP-C
	1101 Michigan Ave, Logansport, IN 46947-1528
	(574) 753-7541
	Not Available

Map and Direction

Provider's Profile

Full Name	Cheryl Shively
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1101 Michigan Ave, Logansport, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cheryl Shively graduated from nursing school in 2021

NPI Data:

NPI Number: 1649840521
Provider Enumeration Date: 07/01/2021
Last Update Date: 07/01/2021

Medicare PECOS Information:

PECOS PAC ID: 5698171361
Enrollment ID: I20210903000425

Medical Identifiers

Medical identifiers for Cheryl Shively such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649840521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28168027A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital	Logansport, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Hospital	8123923281	71

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cheryl Shively allows following entities to bill medicare on her behalf.

Entity Name	Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942317656 PECOS PAC ID: 8123923281 Enrollment ID: O20031206000001

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cheryl Shively is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Cheryl Shively, FNP-C 1921 N 3rd St, Logansport, IN 46947-1010 Ph: (765) 860-2063	Cheryl Shively, FNP-C 1101 Michigan Ave, Logansport, IN 46947-1528 Ph: (574) 753-7541

Reviews and Comments

Nurse Practitioner Nurses in Logansport, IN

Ms. Lois Jane Taylor, CANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 E Market St, Logansport, IN 46947 Phone: 574-722-9366 Fax: 574-722-5987
Ms. Jo Estes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-722-7407 Fax: 844-397-1308
Chad E Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-735-3414
Michelle Leigh Myers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3727 E Market St, Logansport, IN 46947 Phone: 574-727-2114
Thomas Calvin Kerr, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 South State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-737-3907
Alison G Kaneshiro, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Michigan Ave, Logansport, IN 46947 Phone: 574-753-7541
Tracy L. Thomas, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-722-7407 Fax: 574-735-0429

Cheryl Shively, FNP-C - Medicare Nurse Practitioner in Logansport, IN