Christina Jean Shockley, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Dickinson, North Dakota. Her current practice location is
135 Sims St Ste 202, Dickinson, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 264-9049.
Christina Jean Shockley is licensed to practice in North Dakota (license number R33717) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043824501.
Physician's Profile
Full Name | Christina Jean Shockley |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 135 Sims St Ste 202, Dickinson, North Dakota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043824501
- Provider Enumeration Date: 09/02/2020
- Last Update Date: 01/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 8921033291
- Enrollment ID: I20210315002348
Medical Identifiers
Medical identifiers for Christina Jean Shockley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043824501 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | R33717 (North Dakota) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R33717 (North Dakota) | Primary |
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. Christina Jean Shockley allows following entities to bill medicare on her behalf.
Entity Name | Mckenzie County Healthcare Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063420495 PECOS PAC ID: 5890768006 Enrollment ID: O20040817000016 |
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Entity Name | Anova Family Health Center Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801145206 PECOS PAC ID: 4789837659 Enrollment ID: O20130102000163 |
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Entity Name | Innovative Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437859782 PECOS PAC ID: 2062872682 Enrollment ID: O20230714000707 |
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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. Christina Jean 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 Address | Practice Location Address |
Christina Jean Shockley, FNP-C, PMHNP-BC 135 Sims St Ste 202, Dickinson, ND 58601-5148 Ph: (701) 264-9049 | Christina Jean Shockley, FNP-C, PMHNP-BC 135 Sims St Ste 202, Dickinson, ND 58601-5148 Ph: (701) 264-9049 |
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