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COURTNEY SHOCKLEY MD
NPI 1558656314
Pediatrics in Yakima, WA

Active since June 09, 2011PECOS Enrolled
1111 N 35TH AVE STE 120, YAKIMA, WA 98902(509) 969-6214(509) 420-9357 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 22, 2026, Feb 5, 2019, Jan 24, 2019 and 1 more (4 updates tracked since 2018).

About Courtney Shockley Md NPPES

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

COURTNEY SHOCKLEY MD (NPI 1558656314) is an individual pediatrics provider in Yakima, Washington, licensed in Washington (MD60578513) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558656314
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCOURTNEY SHOCKLEYCredential: MD
Location Address1111 N 35TH AVE STE 120Yakima, WA 98902-1622
Mailing Address1111 N 35th Ave Ste 120Yakima, WA 98902-1622 · (509) 969-6214 · Fax (509) 420-9357
Phone(509) 969-6214
Fax(509) 420-9357
Sole ProprietorNo
Enumeration DateJune 9, 2011
Last NPPES UpdateApril 22, 20264 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1558656314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD60578513
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1111 N 35TH AVE STE 120, Yakima, WA 98902
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Other Identifiers 1

Medicaid2047300WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Shockley Md 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.

Medicare Billing Reassignment

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

Community Health Of Central Washington
2.7 mi
Federally Qualified Health Center (FQHC)
501 S 5TH AVE
Yakima, WA 98902
  • Reassigned Medicare billing, Washington enrollment
  • 150 clinicians in this Medicare group
NPI 1598764920 (509) 494-6700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98902 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
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.

YAMILETH R CAZORLA-LANCASTER DO
Pediatrics
1111 N 35TH AVE STE 120
YAKIMA, WA 98902
Yakima County (509) 969-6214
LYNSEY WALKER WESTFALL LMHC, NCC
Counselor (Mental Health)
1111 N 35TH AVE STE 120
YAKIMA, WA 98902
Yakima County (509) 289-5480
CAROLINE COBB ARNP
Nurse Practitioner (Family)
1111 N 35TH AVE STE 120
YAKIMA, WA 98902
Yakima County (509) 969-6214

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 Courtney Shockley's NPI number?

The NPI number for Courtney Shockley is 1558656314. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Where is Courtney Shockley located?

Courtney Shockley practices at 1111 N 35th Ave Ste 120, Yakima, WA 98902. The listed phone number is (509) 969-6214.

What is Courtney Shockley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Courtney Shockley enrolled in Medicare?

Yes. Courtney Shockley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Courtney Shockley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Shockley reassigns Medicare benefits to Community Health Of Central Washington (Yakima, WA). 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 Courtney Shockley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Shockley accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Courtney 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 Courtney Shockley was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.