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

Lillian G Shively, PA-C

Individual provider Physician Assistant · NPI 1972108280

Lillian G Shively, PA-C is a Physician Assistant in Jerseyville, Illinois. Qualified in 2020, 6 years ago. Practices with Jersey Community Hospital, a 62-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

270 Maple Summit Rd McDow Bldg
Jerseyville, IL 62052
Phone: (618) 498-7108
Fax: (618) 498-7919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 903 S State St, Jerseyville, IL 62052-2344 — (618) 639-9255
  • 390 Maple Summit Rd, Jerseyville, IL 62052 — (618) 498-2101

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085007743 (IL)

Record details

NPI number1972108280
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 3, 2020
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Jersey Community Hospital — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jerseyville