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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE SHOCKLEY CNP
NPI 1124569041
Nurse Practitioner in Cloquet, MN

Active since March 10, 2017PECOS EnrolledAccepts Medicare Assignment
707 HIGHWAY 33 S STE 19, CLOQUET, MN 55720(218) 609-1390(218) 609-1391 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, Aug 24, 2023, Jan 31, 2023 and 3 more (6 updates tracked since 2020).

About Nicole Shockley Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE SHOCKLEY CNP (NPI 1124569041) is an individual nurse practitioner in Cloquet, Minnesota, licensed in Minnesota (4971) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124569041
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE SHOCKLEYCredential: CNP
Location Address707 HIGHWAY 33 S STE 19Cloquet, MN 55720-2665
Mailing Address707 Highway 33 S Ste 19Cloquet, MN 55720-2665 · (218) 609-1390 · Fax (218) 609-1391
Phone(218) 609-1390
Fax(218) 609-1391
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 10, 2017
Last NPPES UpdateOctober 13, 20266 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1124569041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MN · 4971✔ Licensed in WI · 10568
Definition
(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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 1745474 (MN), 241302 (WI)
707 HIGHWAY 33 S STE 19, Cloquet, MN 55720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Shockley Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597040071
PECOS Enrollment IDI20170324000042
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Shockley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Twin Ports Telemedicine LLC
8.7 mi
Primary Care
4727 AUNE RD
Saginaw, MN 55779
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1831941970 (218) 391-6264

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services20 patients
Blood test, basic group of blood chemicals (calcium, ionized) 80047
A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.
19 services18 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
19 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. LUKE'S HOSPITAL OF DULUTH
Clinic/Center
707 HIGHWAY 33 S STE 19
CLOQUET, MN 55720
Carlton County (218) 879-4641

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Shockley's NPI number?

The NPI number for Nicole Shockley is 1124569041. It was assigned to this individual provider in the NPPES registry on March 10, 2017.

Where is Nicole Shockley located?

Nicole Shockley practices at 707 Highway 33 S Ste 19, Cloquet, MN 55720. The listed phone number is (218) 609-1390.

What is Nicole Shockley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Shockley enrolled in Medicare?

Yes. Nicole Shockley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicole Shockley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Shockley reassigns Medicare benefits to Twin Ports Telemedicine LLC (Saginaw, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Shockley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Shockley accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and HealthPartners list Nicole Shockley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Shockley affiliated with any hospitals?

According to CMS data, Nicole Shockley is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Shockley was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.