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

Nicole Shockley, CNP

Individual provider Registered Nurse · NPI 1124569041

Nicole Shockley, CNP is a Nurse Practitioner in Duluth, Minnesota. Qualified in 2016, 10 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Wisconsin.

Years since qualifying
10
Licensed in
MN, WI
In the registry since
2017
Specialties on file
4
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

4325 Grand Ave
Duluth, MN 55807-2730
Phone: (218) 722-1497
Fax: (218) 722-6239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2222 E 5th St, Superior, WI 54880-3709 — (715) 392-1955

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4971 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 1745474 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 241302 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 10568 (WI)

Record details

NPI number1124569041
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedMarch 10, 2017
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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