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DR. NICHOLAS SHOCKMAN PSY.D
NPI 1336417716
Psychologist - Clinical in Kennewick, WA

Active since December 13, 2011PECOS EnrolledAccepts Medicare Assignment
3311 W CLEARWATER AVE, SUITE C-200D, KENNEWICK, WA 99336(509) 491-8191(509) 396-7556 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Nicholas Shockman Psy.d NPPES

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

DR. NICHOLAS SHOCKMAN PSY.D (NPI 1336417716) is an individual clinical provider in Kennewick, Washington, licensed in Washington (60315203) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1336417716
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NICHOLAS SHOCKMANCredential: PSY.D
Location Address3311 W CLEARWATER AVE, SUITE C-200DKennewick, WA 99336-2710
Mailing AddressPo Box 5054Pasco, WA 99302-5054 · (804) 972-6816
Phone(509) 491-8191
Fax(509) 396-7556
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 13, 2011
Last NPPES UpdateMay 8, 2013
✔ NPI 1336417716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WA · 60315203
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselorTaxonomy 101Y00000X
3311 W CLEARWATER AVE, Kennewick, WA 99336
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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 and accepts Medicare assignment

Dr. Nicholas Shockman Psy.d 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 ID1759515240
PECOS Enrollment IDI20260120003711
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 99336 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 3

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

MEDICAL CONTRACTING SERVICES
Durable Medical Equipment & Medical Supplies
3311 W CLEARWATER AVE, SUITE D109
KENNEWICK, WA 99336
Benton County (509) 987-1056
VICKIE ATKINSON
Durable Medical Equipment & Medical Supplies
3311 W CLEARWATER AVE, SUITE D-109
KENNEWICK, WA 99336
Benton County (509) 987-1056
KELSEY SCHMITT RD, CD
Dietitian, Registered
3311 W CLEARWATER AVE, D-222
KENNEWICK, WA 99336
Benton County (206) 883-1760

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 Nicholas Shockman's NPI number?

The NPI number for Nicholas Shockman is 1336417716. It was assigned to this individual provider in the NPPES registry on December 13, 2011.

Where is Nicholas Shockman located?

Nicholas Shockman practices at 3311 W Clearwater Ave Suite C-200d, Kennewick, WA 99336. The listed phone number is (509) 491-8191.

What is Nicholas Shockman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nicholas Shockman enrolled in Medicare?

Yes. Nicholas Shockman 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.

When was this NPI record last updated?

The NPPES record for Nicholas Shockman was last updated on May 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.