Jeannine Shively, PA-C
NPI 1164688529 · Physician Assistant · San Diego, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeannine Shively, PA-C is a Physician Assistant provider in San Diego, CA (NPI 1164688529).
Provider details
- NPI number
- 1164688529
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 19841 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,428 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 930 | $116 |
| Removal of Impacted Ear Wax69210 | 501 | $38 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 360 | $178 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 216 | $83 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 155 | $150 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 129 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 388 | 156 |
| Azelastine Hcl | 357 | 146 |
| Mupirocin | 96 | 54 |
| Cephalexin | 93 | 84 |
| Ipratropium Bromide | 68 | 24 |
| Methylprednisolone | 52 | 48 |
| Montelukast Sodium | 50 | 11 |
| Lorazepam | 47 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$91 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-08-05
- Last updated
- 2008-08-05
Frequently asked questions
- What is Jeannine Shively's NPI number?
- Jeannine Shively's National Provider Identifier (NPI) is 1164688529, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeannine Shively's specialty?
- Jeannine Shively is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jeannine Shively located?
- Jeannine Shively's practice location on file with NPPES is 6645 Alvarado Rd # 415, San Diego, CA 92120-5208.
- What is Jeannine Shively's phone number?
- The practice phone number listed in the NPPES registry for Jeannine Shively is (619) 229-4941.
- Does Jeannine Shively accept Medicare?
- Jeannine Shively is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeannine Shively's NPI active?
- Yes — Jeannine Shively's NPI (1164688529) is active in the NPPES registry as of the last update on 2008-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.