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

Mrs. Cynthia J Shively, FNP-BC

Individual provider Registered Nurse · NPI 1316997349

Mrs. Cynthia J Shively, FNP-BC is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2011, 15 years ago. Practices with Valley Surgical Clinics, Ltd, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

16601 N 40th St Ste 204
Phoenix, AZ 85032-3356
Phone: (602) 996-4747
Fax: (602) 953-5466
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP4137 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN115612 (AZ)

Record details

NPI number1316997349
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Valley Surgical Clinics, Ltd — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Phoenix