JOHN E SHOCKLEY (D.O.) – Family Medicine Physician, NPI 1639161003

JOHN E SHOCKLEY (D.O.) is a healthcare provider. based in Lees summit, Missouri. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. R5A82 (MO). The NPI Number for JOHN E SHOCKLEY (D.O.) is 1639161003

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
JOHN E SHOCKLEY (D.O.)
NPI
1639161003
Phone
(816) 524-3799
Address
615 SW 3RD ST
Enumeration Date
22 August 2005
Last Update Date
1 November 2021

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
8165243799
Graduation Year
1978 (48 years ago)
PAC ID
4183523400
Group Practice PAC ID
0143116053
Professional Enrollment ID
I20100902000777

Contacts

Secure Messaging
referrals_elsc@encompassmed.direct-ci.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for JOHN E SHOCKLEY (D.O.)

  • Southwest 3rd Street, Lee's Summit, Jackson County, Missouri, 640636, United States

    LEES SUMMIT, MO 640632212

    Phone: (816) 524-3799

    Fax: (913) 495-3727

    Type: Location

  • 8550 MARSHALL DR STE 220

    LENEXA, KS 662141505

    Phone: (816) 524-3799

    Fax: (913) 495-3727

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Novo Nordisk Inc ($18).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64063)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143116053View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to JOHN E SHOCKLEY (D.O.)?
NPI 1639161003 is assigned to JOHN E SHOCKLEY (D.O.) under the national enumeration system.
Is JOHN E SHOCKLEY (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JOHN E SHOCKLEY (D.O.) work in?
You can think of JOHN E SHOCKLEY (D.O.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JOHN E SHOCKLEY (D.O.)?
The snapshot lists Lees Summit, Missouri for JOHN E SHOCKLEY (D.O.); download NPPES for the complete set.
What if Lees Summit, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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