1. Home
  2. Directory
  3. Ohio
  4. Elyria
  5. Nurse Practitioner
  6. NPI Profile

ADDIE SHOCK
NPI 1215380423
Nurse Practitioner - Pediatrics in Elyria, OH

Active since July 22, 2016PECOS Enrolled
125 E BROAD ST STE 302, ELYRIA, OH 44035(440) 323-0258 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Addie Shock NPPES

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

ADDIE SHOCK (NPI 1215380423) is an individual pediatrics provider in Elyria, Ohio, licensed in Ohio (RN3810151) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215380423
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameADDIE SHOCK
Location Address125 E BROAD ST STE 302Elyria, OH 44035-6447
Mailing Address9807 Nicole LnOlmsted Twp, OH 44138-4252 · (419) 685-4353
Phone(440) 323-0258
Sole ProprietorNo
Enumeration DateJuly 22, 2016
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1215380423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OH · RN3810151
125 E BROAD ST STE 302, Elyria, OH 44035
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Addie Shock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44035 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Addie Shock's NPI number?

The NPI number for Addie Shock is 1215380423. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Where is Addie Shock located?

Addie Shock practices at 125 E Broad St Ste 302, Elyria, OH 44035. The listed phone number is (440) 323-0258.

What is Addie Shock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Addie Shock enrolled in Medicare?

Yes. Addie Shock is registered in the Medicare PECOS enrollment system.

What insurance does Addie Shock accept?

Health plans from CareSource and MedMutual list Addie Shock 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.

When was this NPI record last updated?

The NPPES record for Addie Shock was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.