Shannon Lyons Boffeli, APRN in Flagstaff, AZ - Medicare Nurse Practitioner

Shannon Lyons Boffeli, APRN is a medicare enrolled "Nurse Practitioner" in Flagstaff, Arizona. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northern Arizona Healthcare Corporation and his current practice location is 107 E Oak Ave, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 779-7880.

Shannon Lyons Boffeli is licensed to practice in Arizona (license number 291176) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861582447.

Contact Information

	Shannon Lyons Boffeli, APRN
	107 E Oak Ave, Flagstaff, AZ 86001-1818
	(928) 779-7880
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Lyons Boffeli
Gender	Male
Speciality	Nurse Practitioner
Experience	21 Years
Location	107 E Oak Ave, Flagstaff, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shannon Lyons Boffeli graduated from nursing school in 2003

NPI Data:

NPI Number: 1861582447
Provider Enumeration Date: 10/13/2006
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 8527046374
Enrollment ID: I20230512000785

Medical Identifiers

Medical identifiers for Shannon Lyons Boffeli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861582447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	374115-4408 (Utah)	Secondary
363L00000X	Nurse Practitioner	APRN002370 (Nevada)	Secondary
363L00000X	Nurse Practitioner	291176 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Verde Valley Medical Center	Cottonwood, AZ	Hospital
Flagstaff Medical Center	Flagstaff, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Arizona Healthcare Corporation	3577473362	352

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. Shannon Lyons Boffeli allows following entities to bill medicare on his behalf.

Entity Name	Northern Arizona Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409

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. Shannon Lyons Boffeli 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
Shannon Lyons Boffeli, APRN 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235	Shannon Lyons Boffeli, APRN 107 E Oak Ave, Flagstaff, AZ 86001-1818 Ph: (928) 779-7880

Reviews and Comments

Nurse Practitioner Nurses in Flagstaff, AZ

Dr. Sarah Lynn Salce, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-226-6400 Fax: 928-226-6401
Wyatt D Woodard, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 N Leroux St, Ste B, Flagstaff, AZ 86001 Phone: 928-779-0361 Fax: 928-779-7143
Mr. Richard R Valdes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6100 Fax: 928-774-4808
Ms. Sherry Ann Mace, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 301, Flagstaff, AZ 86001 Phone: 928-773-2538
Ms. Julie Marie Polzin, RN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Suite 201, Flagstaff, AZ 86001 Phone: 928-913-8800 Fax: 928-913-8801
Dr. Evenstar Amelia Forbach, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7510 W Bridle Trl, Flagstaff, AZ 86001 Phone: 928-600-1731
Ms. Sarah Mcnaughton Preston, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1424 N Evergreen Dr, Flagstaff, AZ 86001 Phone: 928-699-9777

Shannon Lyons Boffeli, APRN - Medicare Nurse Practitioner in Flagstaff, AZ