MRS. LOGAN JAY SHOCKLEY (FNP-C) – Family Nurse Practitioner, NPI 1295374148
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for MRS. LOGAN JAY SHOCKLEY (FNP-C)
515 KYLE AVE
SAINT JAMES, MO 655591531
Phone: (573) 263-3338
Type: Mailing
1000 W 10th St
Rolla, MO 654012905
Phone: (573) 458-8899
Fax: (573) 341-5611
Type: Location
1060 W 10TH ST
ROLLA, MO 654012905
Phone: (573) 458-3324
Fax: (573) 458-8445
Type: Mailing
1050 W 10TH ST
ROLLA, MO 654012905
Phone: (573) 364-9000
Fax: (573) 426-2108
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 83 Open Payments records for all available years, with a total value of $1,745.
Total Amount is formed as General ($1,745) + Research ($0) + Ownership ($0) = $1,745.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($302).
Total Amount
$1,745
General + Research + Ownership
Payments
83
Total payment records
General Amount
$1,745
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $302 |
| Daiichi Sankyo Inc. | $197 |
| Novartis Pharmaceuticals Corporation | $121 |
| Genentech USA, Inc. | $113 |
| Regeneron Healthcare Solutions, Inc. | $105 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200303001577 | I | Nurse Practitioner | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 399 | 154 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 149 | 115 | $0 |
Insurance plans in this area (ZIP 65559)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| - | MO | |
| - | MO | |
| Radiation Oncology | MO | |
| Otolaryngology, Plastic And Reconstructive Surgery, Allergy/Immunology | MO | |
| - | MO | |
| Nephrology, Internal Medicine, Hospitalist | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Certified Nurse Midwife (Cnm) | MO |
Reviews
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