Breanna Rose Shockman, - Medicare Nurse Practitioner in Alexandria, MN

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Breanna Rose Shockman, is a medicare enrolled "Nurse Practitioner - Family" in Alexandria, Minnesota. Her current practice location is 610 30th Ave W, Alexandria, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 763-5123.

Breanna Rose Shockman is licensed to practice in Minnesota (license number 9324) 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 1962137141.

Contact Information

Breanna Rose Shockman,
610 30th Ave W,
Alexandria, MN 56308-3426
(320) 763-5123
Not Available

Map and Direction




Provider's Profile

Full NameBreanna Rose Shockman
GenderFemale
SpecialityNurse Practitioner - Family
Location610 30th Ave W, Alexandria, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962137141
  • Provider Enumeration Date: 07/21/2022
  • Last Update Date: 10/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840676086
  • Enrollment ID: I20220926002378

Medical Identifiers

Medical identifiers for Breanna Rose Shockman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962137141NPI-NPPES
2450603OtherMNRN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2450603 (Minnesota)Secondary
363LF0000XNurse Practitioner - Family 9324 (Minnesota)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. Breanna Rose Shockman allows following entities to bill medicare on her behalf.
Entity NameDouglas County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164424305
PECOS PAC ID: 0648171413
Enrollment ID: O20040115000387

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. Breanna Rose Shockman 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
Breanna Rose Shockman,
610 30th Ave W,
Alexandria, MN 56308-3426

Ph: () -		Breanna Rose Shockman,
610 30th Ave W,
Alexandria, MN 56308-3426

Ph: (320) 763-5123

Reviews and Comments


Nurse Practitioner Nurses in Alexandria, MN

Dr. Byron Howard Herdman, DNP, APRN, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 119 30th Ave W Ste 119, Alexandria, MN 56308
Phone: 320-762-6226    
Rachel Lee Arickx, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 610 30th Ave W, Alexandria, MN 56308
Phone: 320-763-2540    Fax: 320-763-5749
Alisha Mae Colby-timm, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1610 8th Ave E, Alexandria, MN 56308
Phone: 320-335-6201    
Heather Renee Lucken Scholl, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 610 30th Ave W, Alexandria, MN 56308
Phone: 320-763-2540    
Megan Larsen,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1527 Broadway St, Alexandria, MN 56308
Phone: 320-762-0399    
Julia Fiecke,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 305 30th Ave W, Alexandria, MN 56308
Phone: 320-460-8028    Fax: 320-460-8029
Andrea Tacheny, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1610 8th Ave E, Alexandria, MN 56308
Phone: 651-417-4966    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.