Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stewart Craig Shively, PA-C

Individual provider Physician Assistant · NPI 1194840520

Stewart Craig Shively, PA-C is a Physician Assistant in Everett, Washington. Qualified in 1999, 27 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
27
Licensed in
WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1321 Colby Ave
Everett, WA 98201-1665
Phone: (425) 261-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA10003914 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA10003914 (WA)

Record details

NPI number1194840520
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients17
Services billed 34 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Providence Health and Services- Washington

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 526 clinicians in the practice; 12 are shown here.

Other providers in Everett