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

CARSON SLADE SHOCKLEY
NPI 1285561605
Anesthesiologist Assistant in Joplin, MO

Q: What is Carson Shockley's NPI number?

The NPI number for Carson Shockley is 1285561605. It was assigned to this individual provider in the NPPES registry on May 7, 2026.

Q: What is Carson Shockley's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Carson Shockley was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 07, 2026

1102 W 32ND ST, JOPLIN, MO 64804(417) 347-1111 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 20, 2026, May 7, 2026 (2 updates tracked since 2026).

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About Carson Slade Shockley NPPES

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

CARSON SLADE SHOCKLEY (NPI 1285561605) is an individual anesthesiologist assistant in Joplin, Missouri and active in the NPI registry since May 2026. He is a graduate of Nova Southeastern College Of Osteo Medicine (2026).

NPPES Registry Identity

NPI1285561605

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameCARSON SLADE SHOCKLEY

Location Address1102 W 32ND STJoplin, MO 64804-3503

Mailing Address11659 Se 10th StBaxter Springs, KS 66713-1484 · (620) 202-2957

Phone(417) 347-1111

Sole ProprietorNo

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2026

Enumeration DateMay 7, 2026

Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration

NPPES CertifiedAugust 20, 2026

✔ NPI 1285561605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1102 W 32ND ST, Joplin, MO 64804

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carson Slade Shockley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143784280

PECOS Enrollment IDI20260709004162

Other Providers at the Same Location NPPES 20

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

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