Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Logan Jay Shockley, FNP-C

Individual provider Registered Nurse · NPI 1295374148

Mrs. Logan Jay Shockley, FNP-C is a Nurse Practitioner in Rolla, Missouri. Qualified in 2019, 7 years ago. Practices with Phelps County Regional Medical Center, a 109-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1060 W 10th St
Rolla, MO 65401-2905
Phone: (855) 406-3324
Fax: (573) 458-8363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 W 10th St, Rolla, MO 65401-2905 — (573) 458-8899
  • 1000 W 10th St, Rolla, MO 65401-2905 — (573) 364-9000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2020003116 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2016022013 (MO)

Record details

NPI number1295374148
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 24, 2019
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

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 Phelps County Regional Medical Center — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Rolla