Carson Slade Shockley
NPI 1285561605ActiveIndividual· Anesthesiologist Assistant· Joplin, MO
Anesthesiologist Assistant in Joplin, Missouri, trained at Nova Southeastern College of Osteo Medicine (class of 2026). Enrolled in Medicare as practitioner - anesthesiology assistant.
Overview
| NPI | 1285561605 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 7, 2026 |
| Last updated in NPPES | Aug 20, 2026 |
| Certified by provider | Aug 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | — | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (MO) |
|---|
Education and affiliations
| Medical school | Nova Southeastern College of Osteo Medicine |
|---|---|
| Graduation year | 2026 |
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Freeman-Oak Hill Health SystemJoplin, MO · 394 clinicians
Hospital affiliation
- Freeman Health System - Freeman WestJoplin, MO
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