Nicole Shockley, CNP - Medicare Nurse Practitioner in Duluth, MN

Nicole Shockley, CNP is a medicare enrolled "Nurse Practitioner" in Duluth, Minnesota. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lake Superior Community Health Center and her current practice location is 4325 Grand Ave, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 722-1497.

Nicole Shockley is licensed to practice in Minnesota (license number 4971) 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 1124569041.

Contact Information

Nicole Shockley, CNP
4325 Grand Ave,
Duluth, MN 55807-2730
(218) 722-1497
(218) 722-6239

Map and Direction




Provider's Profile

Full NameNicole Shockley
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location4325 Grand Ave, Duluth, Minnesota
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:
  • Nicole Shockley graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1124569041
  • Provider Enumeration Date: 03/10/2017
  • Last Update Date: 01/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5597040071
  • Enrollment ID: I20210307000003

Medical Identifiers

Medical identifiers for Nicole Shockley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124569041NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 1745474 (Minnesota)Secondary
163W00000XRegistered Nurse 241302 (Wisconsin)Secondary
363L00000XNurse Practitioner 10568 (Wisconsin)Secondary
363L00000XNurse Practitioner 4971 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Lukes HospitalDuluth, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Superior Community Health Center660881003114

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. Nicole 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
Nicole Shockley, CNP
2222 E 5th St,
Superior, WI 54880-3709

Ph: (715) 392-1955
Nicole Shockley, CNP
4325 Grand Ave,
Duluth, MN 55807-2730

Ph: (218) 722-1497

Reviews and Comments


Nurse Practitioner Nurses in Duluth, MN

Molly B Dwyer, APRN, CNP
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Practice Location: 400 E 3rd St, Duluth, MN 55805
Phone: 218-786-8364    
Mrs. Kelsey Maria O'neil, APRN, CNP
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Practice Location: 420 E 1st St, Duluth, MN 55805
Phone: 218-786-8364    
Debbi L Peters, APRN, CNP
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Phone: 218-786-4063    
Amy Jo Schwab, MSN, APRN, PMHNP-BC
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Medicare: Medicare Enrolled
Practice Location: 332 W Superior St Ste 300, Duluth, MN 55802
Phone: 218-722-4379    Fax: 218-722-4333
Jessica Louise Zweifel, CNP
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Medicare: Accepting Medicare Assignments
Practice Location: 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805
Phone: 218-786-3443    
Deeann Marie Hogenson, APRN, CNP
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Medicare: Medicare Enrolled
Practice Location: 400 E 3rd St, Duluth, MN 55805
Phone: 218-786-8364    
Lisa Dee Starr,
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Medicare: Not Enrolled in Medicare
Practice Location: 400 E 3rd St, Duluth, MN 55805
Phone: 218-786-8364    

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.