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

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

Map and Direction

Provider's Profile

Full Name	Mrs Logan Jay Shockley
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1060 W 10th St, Rolla, Missouri
Accepts Medicare Assignments	Yes. 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.

Identifier	Type	State	Issuer
1295374148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2016022013 (Missouri)	Secondary
363LF0000X	Nurse Practitioner - Family	2020003116 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phelps County Regional Medical Center	Rolla, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pcrmc Medical Group, Inc	1557454063	95

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 Name	Phelps County Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405

Entity Name	Pcrmc Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124237227 PECOS PAC ID: 1557454063 Enrollment ID: O20070829000437

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 Address	Practice 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

Reviews and Comments

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
Dr. Alexis West, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1081 E 18th St, 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

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