MRS. LOGAN JAY SHOCKLEY FNP-C
NPI 1295374148
Nurse Practitioner - Family in Rolla, MO

Q: What is Logan Shockley's NPI number?

The NPI number for Logan Shockley is 1295374148. It was assigned to this individual provider in the NPPES registry on December 24, 2019.

Q: What is Logan Shockley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Logan Shockley was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since December 24, 2019PECOS EnrolledAccepts Medicare Assignment

77.52/100

CMS Quality Rating

1060 W 10TH ST, ROLLA, MO 65401(855) 406-3324(573) 458-8363 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2025, Jan 13, 2021, Jan 29, 2020 and 1 more (4 updates tracked since 2019).

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About Mrs. Logan Jay Shockley Fnp-c NPPES

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

MRS. LOGAN JAY SHOCKLEY FNP-C (NPI 1295374148) is an individual family provider in Rolla, Missouri, licensed in Missouri (2020003116) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Phelps County Regional Medical Center, and maintains a secondary practice location in Rolla.

NPPES Registry Identity

NPI1295374148

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LOGAN JAY SHOCKLEYCredential: FNP-C

Location Address1060 W 10TH STRolla, MO 65401-2905

Mailing Address1050 W 10th StRolla, MO 65401-2905 · (573) 364-9000 · Fax (573) 426-2108

Phone(855) 406-3324

Fax(573) 458-8363

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 24, 2019

Last NPPES UpdateMarch 20, 20254 updates tracked since enumeration

NPPES CertifiedMarch 20, 2025

✔ NPI 1295374148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2020003116

Also ListedRegistered NurseTaxonomy 163W00000X · License 2016022013 (MO)

1060 W 10TH ST, Rolla, MO 65401

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Secondary Practice Location 1

Location 11000 W 10th StRolla, MO 65401-2905 · Phone (573) 364-9000 · Fax (573) 426-2108

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Logan Jay Shockley Fnp-c 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 ID2769819788

PECOS Enrollment IDI20200303001577

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.

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

556 services243 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

47 services41 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

17 services16 patients

Hospital Affiliations CMS Care Compare

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

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260017

Location1000 W 10th StRolla, MO 65401 · Phelps County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.88

Promoting Interoperability

100

Improvement Activities

Cost

60.19

Other Providers at the Same Location NPPES 15

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

DR. JOEL AMOS LEON BECERRIL MD

Urology