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Active NPI 1124569041 Individual Practitioner Female Practitioner

Nicole Shockley , CNP

Nurse Practitioner • Duluth, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Nicole Shockley, CNP is a certified Nurse Practitioner practicing in Duluth, MN. With approximately 10 years of clinical experience since completing medical education in 2016, Nicole Shockley delivers high-quality medical care to the local community at 4325 GRAND AVE.

Nicole Shockley is affiliated with Polinsky Medical Rehabilitation Center and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, blood test, basic group of blood chemicals (calcium, ionized). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4325 Grand Ave

Duluth, MN 558072730

Telephone 2187221497
Fax 2187226239
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Duluth, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs +2.1 yrs vs City Avg
City Avg: 7.9 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
51 Specialists

Practicing in Duluth, MN (2609 Statewide)

Telehealth Adoption Rate
29.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
78.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shockley (10 Years) 10 Yrs
Duluth Specialty Average (7.9 Years) 7.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
23 20 $20.00 $8.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
19 18 $59.00 $7.61
80047 Blood test, basic group of blood chemicals (calcium, ionized)
19 18 $61.00 $13.46

Medical Specialties & State Licenses

CMS Verified: 2024-01-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN 4971

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MN 1745474

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License WI 241302

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License WI 10568

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Polinsky Medical Rehabilitation Center

1600 Miller Trunk Hwy, Duluth, MN 558115640

Phone: 2187865360

Polinsky Medical Rehabilitation Center

1600 Miller Trunk Hwy, Duluth, MN 558115640

Phone: 2187865360

Secondary Practice Locations

2222 E 5th St

Superior, WI 548803709

Phone: 7153921955

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Madhuri Basak , RNC

Registered Nurse - Ambulatory Care

NPI 1023128477
Zayla Asquith-Heinz , LGSW

Social Worker - Clinical

NPI 1023795226
Kraig Peterson , LGSW

Social Worker - Clinical

NPI 1093293326
Louise Curnow , PA-C

Physician Assistant

NPI 1174698807

Physician Assistant (Certified)

Shawna Fisk , RN

Registered Nurse

NPI 1225621444

Registered Nurse

Lane O'connell , RN

Registered Nurse

NPI 1245349430

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2024

Registered Nurse (License #1745474 in MN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2023

Registered Nurse (License #241302 in WI)

📍
Updated Business Mailing Address October 18, 2021

Registered at 2222 E 5TH ST, SUPERIOR, WI 548803709 (Tel: 7153921955)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2021

Registered Nurse (License #1745474 in MN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2020

Registered Nurse (License #241302 in WI)

📍
Updated Practice Location September 14, 2020

Registered at 4325 GRAND AVE, DULUTH, MN 558072730 (Tel: 2187221497)

📍
Updated Business Mailing Address September 14, 2020

Registered at 1500 N 34TH ST STE 200, SUPERIOR, WI 548804477 (Tel: 7153955380)

NPI Profile Active March 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2017

Registered at 927 TRETTEL LN, CLOQUET, MN 557201345 (Tel: 2188791227)

📍
Updated Business Mailing Address March 10, 2017

Registered at 4727 AUNE RD, SAGINAW, MN 557799682

👤
Provider Name / Credentials Updated March 10, 2017

Recorded as NICOLE SHOCKLEY, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Nurse Practitioner (License #CNP 4971 in MN)

🟢
Initial NPI Registration & Enumeration March 10, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124569041
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2017
Last Update: January 30, 2024
Sole Proprietor: No

Mailing Address

2222 E 5th St

Superior, WI 548803709

Phone: 7153921955

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.