Mrs Logan Jay Shockley, FNP-C - Medicare Nurse Practitioner in Rolla, MO

Mrs Logan Jay Shockley, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Rolla, Missouri. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pcrmc Medical Group, Inc and her current practice location is 1060 W 10th St, Rolla, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 458-3324.

Mrs Logan Jay Shockley is licensed to practice in Missouri (license number 2020003116) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295374148.

Contact Information

Mrs Logan Jay Shockley, FNP-C
1060 W 10th St,
Rolla, MO 65401-2905
(573) 458-3324
(573) 458-8445



Provider's Profile

Full NameMrs Logan Jay Shockley
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1060 W 10th St, Rolla, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Logan Jay Shockley graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1295374148
  • Provider Enumeration Date: 12/24/2019
  • Last Update Date: 01/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2769819788
  • Enrollment ID: I20200303001577

Medical Identifiers

Medical identifiers for Mrs Logan Jay Shockley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295374148NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2016022013 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 2020003116 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phelps County Regional Medical CenterRolla, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pcrmc Medical Group, Inc155745406390

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Logan Jay Shockley allows following entities to bill medicare on her behalf.
Entity NamePcrmc Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124237227
PECOS PAC ID: 1557454063
Enrollment ID: O20070829000437

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Logan Jay Shockley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Logan Jay Shockley, FNP-C
1060 W 10th St,
Rolla, MO 65401-2905

Ph: (573) 458-3324
Mrs Logan Jay Shockley, FNP-C
1060 W 10th St,
Rolla, MO 65401-2905

Ph: (573) 458-3324

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Nurse Practitioner Nurses in Rolla, MO

Mr. Steven R Ballard, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1050 W 10th St, Rolla, MO 65401
Phone: 573-308-1301    Fax: 573-202-2480
Ms. Candy Sadler, AGNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 W 10th St, Rolla, MO 65401
Phone: 573-426-2214    Fax: 573-458-8316
Ms. Y'vonda Darlene Holmes, APRN, FNP, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1605 Martin Springs Dr, Rolla, MO 65401
Phone: 573-458-6326    
Alexis West, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1060 S Bishop Ave, Rolla, MO 65401
Phone: 573-426-5900    
Meredith Leigh Napierala, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1050 W 10th St, Rolla, MO 65401
Phone: 573-458-8899    
Karene Marie Goodman, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 715 St Rt Cc, Rolla, MO 65401
Phone: 573-308-5044    Fax: 573-341-5300
Angela Christine Middleton, FNP-BC, CEN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 W 10th St, Rolla, MO 65401
Phone: 573-458-8899    

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