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CARSON SLADE SHOCKLEY
NPI 1285561605
Anesthesiologist Assistant in Joplin, MO

Active since May 07, 2026Accepts Medicare Assignment
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: October 18, 2026.

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

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 affiliated with Freeman Health System - Freeman West and 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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carson Slade Shockley 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 ID143784280
PECOS Enrollment IDI20260709004162

Medicare Billing Reassignment

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

Freeman-Oak Hill Health System
0.1 mi
Multi-Specialty
1102 W 32ND ST
Joplin, MO 64804
  • Reassigned Medicare billing, Missouri enrollment
  • 427 clinicians in this Medicare group
NPI 1679517023 (417) 347-6605

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

Hospital Affiliations CMS Care Compare

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

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

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.

GEOFFREY GLEN GRAHAM DO
Internal Medicine (Gastroenterology)
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (417) 347-4570
MAJED SAFIYEH M.D.
Internal Medicine (Critical Care Medicine)
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (432) 599-8999
MR. AUSTIN BOONE MCCLURE CRNA
Nurse Anesthetist, Certified Registered
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (417) 347-1078
MRS. MARGARET HULSE RN
Registered Nurse (Medical-Surgical)
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (417) 502-4548
DR. ALEXANDER MILES JOSEPH VRASPIR DO
Student in an Organized Health Care Education/Training Program
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (417) 347-1111
DR. JOHN K WILLIAMS MD
Radiology (Diagnostic Radiology)
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (417) 347-1213
SANDIP J NAIK MD
Hospitalist
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (417) 347-4570
MRS. STEPHANIE JENE' (SMITH) BRADSHAW CCC-SLP
Speech-Language Pathologist
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (417) 347-6616

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 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.

Where is Carson Shockley located?

Carson Shockley practices at 1102 W 32nd St, Joplin, MO 64804. The listed phone number is (417) 347-1111.

What is Carson Shockley's specialty?

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

Is Carson Shockley enrolled in Medicare?

Yes. Carson 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 Carson Shockley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carson Shockley reassigns Medicare benefits to Freeman-Oak Hill Health System (Joplin, MO). 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 Carson Shockley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carson Shockley affiliated with any hospitals?

According to CMS data, Carson Shockley is affiliated with Freeman Health System - Freeman West.

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 2 months 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.