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BREANNA ROSE SHOCKMAN
NPI 1962137141
Nurse Practitioner - Family in Alexandria, MN

Active since July 21, 2022PECOS EnrolledAccepts Medicare Assignment
610 30TH AVE W, ALEXANDRIA, MN 56308(320) 763-5123 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breanna Rose Shockman NPPES

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

BREANNA ROSE SHOCKMAN (NPI 1962137141) is an individual family provider in Alexandria, Minnesota, licensed in Minnesota (9324) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Alomere Health, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962137141
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBREANNA ROSE SHOCKMAN
Location Address610 30TH AVE WAlexandria, MN 56308-3426
Mailing Address610 30th Ave WAlexandria, MN 56308-3426
Phone(320) 763-5123
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 21, 2022
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
✔ NPI 1962137141 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 MN · 9324
Also ListedRegistered NurseTaxonomy 163W00000X · License 2450603 (MN)
610 30TH AVE W, Alexandria, MN 56308
Open in Google Maps ↗

Other Identifiers 1

Other2450603MN · Rn License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Breanna Rose Shockman 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 ID840676086
PECOS Enrollment IDI20220926002378
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Alomere Health

Acute Care Hospitals · Alexandria, MN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240030
Location111 17th Avenue EastAlexandria, MN 56308 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56308 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

JESSICA M BUTANIS DO
Internal Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
ANDREA M BOE MD
Internal Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 759-2640
JUSTIN T CONLEY MD
Pediatrics
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
TIMOTHY F BUSIAN DO
Family Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
MICHAEL L BRISTOW DO
Family Medicine
610 30TH AVE W, ALEXANDRIA CLINIC
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
RACHEL LEE ARICKX FNP-C
Nurse Practitioner (Family)
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-2540
ANDREW STORM BSN, RN
Registered Nurse (Addiction (Substance Use Disorder))
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-2508
HEATHER RENEE LUCKEN SCHOLL FNP
Nurse Practitioner
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-2540

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 Breanna Shockman's NPI number?

The NPI number for Breanna Shockman is 1962137141. It was assigned to this individual provider in the NPPES registry on July 21, 2022.

Where is Breanna Shockman located?

Breanna Shockman practices at 610 30th Ave W, Alexandria, MN 56308. The listed phone number is (320) 763-5123.

What is Breanna Shockman's specialty?

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

Is Breanna Shockman enrolled in Medicare?

Yes. Breanna 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.

What insurance does Breanna Shockman accept?

Health plans from Medica list Breanna Shockman 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.

Is Breanna Shockman affiliated with any hospitals?

According to CMS data, Breanna Shockman is affiliated with Alomere Health.

When was this NPI record last updated?

The NPPES record for Breanna Shockman was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.