Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breanna Rose Shockman

Individual provider Registered Nurse · NPI 1962137141

Breanna Rose Shockman is a Nurse Practitioner in Alexandria, Minnesota. Qualified in 2022, 4 years ago. Practices with Alomere Health, a 122-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
Specialties on file
2

Practice location Address checks out

610 30th Ave W
Alexandria, MN 56308-3426
Phone: (320) 763-5123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9324 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 2450603 (MN)

Record details

NPI number1962137141
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 21, 2022
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Alomere Health — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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