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MR. SHANE BROCK CNP
NPI 1487806808
Nurse Practitioner - Primary Care in Las Cruces, NM

Active since October 16, 2008PECOS Enrolled
1635 S DON ROSER DR, LAS CRUCES VA CBOC, LAS CRUCES, NM 88011(575) 522-1241 Get Directions Write a Review

NPPES record last updated: August 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shane Brock Cnp NPPES

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

MR. SHANE BROCK CNP (NPI 1487806808) is an individual primary care provider in Las Cruces, New Mexico, licensed in New Mexico (CNP01132/R46618) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487806808
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. SHANE BROCKCredential: CNP
Location Address1635 S DON ROSER DR, LAS CRUCES VA CBOCLas Cruces, NM 88011-4550
Mailing Address1635 S Don Roser Dr, Las Cruces Va CbocLas Cruces, NM 88011-4550 · (575) 522-1241
Phone(575) 522-1241
Sole ProprietorNo
Enumeration DateOctober 16, 2008
Last NPPES UpdateAugust 7, 2015
✔ NPI 1487806808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NM · CNP01132/R46618
1635 S DON ROSER DR, Las Cruces, NM 88011
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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)

Mr. Shane Brock Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 88011 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 10

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

MANUEL TORRES LMSW
Social Worker
1635 S DON ROSER DR
LAS CRUCES, NM 88011
Doña Ana County (575) 522-1241
CYNTHIA HUERTAMONTOYA
Social Worker
1635 S DON ROSER DR
LAS CRUCES, NM 88011
Doña Ana County (575) 522-1241
DAUBNEY M BOLAND PHD
Psychologist (Prescribing (Medical))
1635 S DON ROSER DR
LAS CRUCES, NM 88011
Doña Ana County (575) 636-2506
MOLLY KANE LMHC
Counselor (Mental Health)
1635 S DON ROSER DR
LAS CRUCES, NM 88011
Doña Ana County (575) 636-2506
MRS. SHERILYN MARIE OBERLIN LLPC
Counselor (Mental Health)
1635 S DON ROSER DR
LAS CRUCES, NM 88011
Doña Ana County (575) 636-2506
DR. SAVANNAH JOY GESKE PH.D.
Psychologist (Prescribing (Medical))
1635 S DON ROSER DR
LAS CRUCES, NM 88011
Doña Ana County (575) 636-2506
DR. DANIEL A LEE PSYD
Psychologist (Prescribing (Medical))
1635 S DON ROSER DR
LAS CRUCES, NM 88011
Doña Ana County (575) 636-2506
DR. MARSHALL K SCHROEDER PSYD
Counselor (Mental Health)
1635 S DON ROSER DR
LAS CRUCES, NM 88011
Doña Ana County (575) 636-2506

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 Shane Brock's NPI number?

The NPI number for Shane Brock is 1487806808. It was assigned to this individual provider in the NPPES registry on October 16, 2008.

Where is Shane Brock located?

Shane Brock practices at 1635 S Don Roser Dr Las Cruces VA Cboc, Las Cruces, NM 88011. The listed phone number is (575) 522-1241.

What is Shane Brock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Shane Brock enrolled in Medicare?

Yes. Shane Brock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Brock was last updated on August 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.