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

Dylan Shockley

Individual provider Acute Care Nurse Practitioner · NPI 1588295836

Dylan Shockley is a Nurse Practitioner in Norman, Oklahoma. Qualified in 2019, 7 years ago. Practices with Norman Regional Providers Specialty Care, a 145-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2020

Practice location Address checks out

1125 N Porter Ave Ste 301
Norman, OK 73071-6443
Phone: (405) 503-0366
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 113527 (OK)

Record details

NPI number1588295836
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 27, 2020
Last updated in NPPESJanuary 27, 2020
Certification dateJanuary 27, 2020
Mailing address1125 N Porter Ave Ste 301, Norman, OK 73071-6443

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Norman Regional Providers Specialty Care — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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