Stewart Craig Shively, PA-C
NPI 1194840520ActiveIndividual· Physician Assistant, Surgical· Everett, WA
Physician Assistant, Surgical (PA-C) with Providence Health and Services- Washington, practicing in Everett, Washington. Mostly services rather than prescriptions: Medicare paid $1,770 for 17 patients in 2024, with only 14 Part D claims. Lists Providence Regional Medical Center Everett as a hospital affiliation.
Overview
| NPI | 1194840520 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 21, 2007 |
| Last updated in NPPES | May 12, 2025 |
| Certified by provider | May 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA10003914 | WA |
| Physician Assistant | 363A00000X | PA10003914 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 34 across 14 procedure codes |
| Paid by Medicare | $1,770 |
Part D prescriptions in 2024
| Prescriptions (claims) | 14 · 14 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $643.81 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Providence Health and Services- WashingtonEverett, WA · 529 clinicians
Hospital affiliation
- Providence Regional Medical Center EverettEverett, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 33 surgical physician assistants in Everett · All surgical physician assistants in Washington