TANNA SHOCKLEY APRN
NPI 1487191987
Nurse Practitioner - Family in Dardanelle, AR

Active since January 23, 2017PECOS EnrolledAccepts Medicare Assignment
1652 STATE HIGHWAY 22 W, DARDANELLE, AR 72834(479) 229-8000(833) 637-1613 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tanna Shockley Aprn NPPES

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

TANNA SHOCKLEY APRN (NPI 1487191987) is an individual family provider in Dardanelle, Arkansas, licensed in Arkansas (A005012) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clinton, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1487191987
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTANNA SHOCKLEYCredential: APRN
Location Address1652 STATE HIGHWAY 22 WDardanelle, AR 72834-2909
Mailing Address1652 State Highway 22 WDardanelle, AR 72834-2909 · (479) 229-8000 · Fax (833) 637-1613
Fax(833) 637-1613
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 23, 2017
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
NPI 1487191987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · A005012
1652 STATE HIGHWAY 22 W, Dardanelle, AR 72834

Secondary Practice Location 1

Location 12526 Highway 65 S, Ste 201Clinton, AR 72031-6657 · Phone (501) 745-3388

Other Identifiers 1

OtherA005012AR · License Number

Accepted 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

Tanna Shockley Aprn 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 ID5496025876
PECOS Enrollment IDI20170718000532
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 72834 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers15 claims28 services$6.13 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$50.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Rural Health)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Preferred Provider Organization
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Family Medicine
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Nurse Practitioner (Family)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Physician Assistant (Medical)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Nurse Practitioner (Family)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Physician Assistant (Medical)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Physician Assistant
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834

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 Tanna Shockley's NPI number?

The NPI number for Tanna Shockley is 1487191987. It was assigned to this individual provider in the NPPES registry on January 23, 2017.

Where is Tanna Shockley located?

Tanna Shockley practices at 1652 State Highway 22 W, Dardanelle, AR 72834. The listed phone number is (479) 229-8000.

What is Tanna Shockley's specialty?

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

Is Tanna Shockley enrolled in Medicare?

Yes. Tanna 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.

What insurance does Tanna Shockley accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Tanna Shockley 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 Tanna Shockley was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.