ROGER DWAYNE SHOCKEY SR. FNP
NPI 1992240808
Nurse Practitioner - Family in Johnson City, TN

Q: What is Roger Shockey's NPI number?

The NPI number for Roger Shockey is 1992240808. It was assigned to this individual provider in the NPPES registry on January 1, 2017.

Q: What is Roger Shockey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roger Shockey was last updated on January 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since January 01, 2017PECOS EnrolledAccepts Medicare Assignment

400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-6111 Get Directions Write a Review

NPPES record last updated: January 1, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Roger Dwayne Shockey Sr. Fnp NPPES

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

ROGER DWAYNE SHOCKEY SR. FNP (NPI 1992240808) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (APN0000022052) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1992240808

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameROGER DWAYNE SHOCKEY SR.Credential: FNP

Location Address400 N STATE OF FRANKLIN RDJohnson City, TN 37604-6035

Mailing Address828 Winchester DrGreeneville, TN 37743-6050 · (423) 620-4558

Phone(423) 431-6111

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 1, 2017

✔ NPI 1992240808 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 TN · APN0000022052

400 N STATE OF FRANKLIN RD, Johnson City, TN 37604

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Accepted Insurance

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

Roger Dwayne Shockey Sr. Fnp 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 ID7012292048

PECOS Enrollment IDI20240921000332, I20260512001790

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 2

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

36 services36 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

DR. CASEY JAMES WILBERT PHARM.D

Pharmacist

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-2787

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Internal Medicine (Cardiovascular Disease)

400 N STATE OF FRANKLIN RD, ROOM LK015
JOHNSON CITY, TN 37604

Washington County (423) 431-5965

MITCHELL DESHAZER

Internal Medicine (Critical Care Medicine)

400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604

Washington County (423) 431-2727

DR. ANDREW LEE GIBSON MD

Emergency Medicine

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-6111

MCKENZIE PEARL GREGG PA-C, MMS, MPH

Physician Assistant

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-6111

OLUWATOSIN ORIOLA AYANJOKE MD

Family Medicine

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-6111

HUNTER DORTON

Student in an Organized Health Care Education/Training Program

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-6111

DR. LEON CHARLES BASS M.D.

Internal Medicine (Pulmonary Disease)

400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604

Washington County (423) 431-2727

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 Roger Shockey's NPI number?

The NPI number for Roger Shockey is 1992240808. It was assigned to this individual provider in the NPPES registry on January 1, 2017.

Where is Roger Shockey located?

Roger Shockey practices at 400 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 431-6111.

What is Roger Shockey's specialty?

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

Is Roger Shockey enrolled in Medicare?

Yes. Roger Shockey 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 Roger Shockey accept?

Health plans from Oscar Insurance Company list Roger Shockey 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 Roger Shockey was last updated on January 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.