Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shannon Nicole Forlivio, PA-C

Individual provider Physician Assistant · NPI 1316660558

Mrs. Shannon Nicole Forlivio, PA-C is a Physician Assistant in Boston, Massachusetts. Graduated from Boston University School of Medicine in 2022, 4 years ago. Practices with Boston University General Surgical Associates, Inc, a 85-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Trained at
Boston University School of Medicine
Licensed in
MA
In the registry since
2022
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

1 Boston Medical Ctr Pl # C500
Boston, MA 02118-2908
Phone: (617) 638-8609
Fax: (617) 638-8607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PS9068 (MA)

Record details

NPI number1316660558
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Boston University General Surgical Associates, Inc. — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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