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

Shannon Lyons Boffeli, APRN

Individual provider Nurse Practitioner · NPI 1861582447

Shannon Lyons Boffeli, APRN is a Nurse Practitioner in Flagstaff, Arizona. Qualified in 2003, 23 years ago. Practices with Northern Arizona Healthcare Corporation, a 395-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Nevada and Utah.

Years since qualifying
23
Licensed in
AZ, NV, UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

107 E Oak Ave
Flagstaff, AZ 86001-1818
Phone: (928) 779-7880
Show map & directions

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

Additional practice locations (2)

  • 2231 W. Charleston Blvd, Las Vegas, NV 89102 — (702) 383-2662
  • 590 Wakara Way, Salt Lake City, UT 84108-1200 — (801) 587-7100

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 291176 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence 374115-4408 (UT)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN002370 (NV)

Record details

NPI number1861582447
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address1200 N Beaver St, Flagstaff, AZ 86001-3118

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Northern Arizona Healthcare Corporation — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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