Christina Jean Shockley, FNP-C, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R33717 Issued in ND

Practice address

1750 Market Dr Ste H
Dickinson, ND 58601-6181

Phone

(701) 456-1221

Fax

(701) 888-5313

NPI assigned

Sep 2, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mackenzie Lyn Brossart, LCSW

  • Social Worker
  • Dickinson, ND
  • NPI 1891235255
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Innovative Health

  • Primary Care Clinic/Center
  • Watford City, ND
  • NPI 1437859782
  Medicare reassignment NPD
• McKenzie County Healthcare Systems Inc

  • Urgent Care Clinic/Center
  • Williston, ND
  • NPI 1396516506
  Medicare reassignment NPD
• McKenzie County Healthcare Systems Inc

  • Family Medicine Physician
  • Williston, ND
  • NPI 1295568376
  NPD
• Kori Stockie LLC

  • Mental Health Counselor
  • Dickinson, ND
  • NPI 1851056766

  Psychiatric/Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1043824501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 MARKET DR STE H",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016181",
            "telephone_number": "701-456-1221",
            "fax_number": "701-888-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 MARKET DR STE H",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016181",
            "telephone_number": "701-456-1221",
            "fax_number": "701-888-5313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 First St SE",
            "address_purpose": "LOCATION",
            "city": "Beach",
            "state": "ND",
            "postal_code": "586219998",
            "country_code": "US",
            "telephone_number": "701-456-1221",
            "fax_number": "888-720-5313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "CHRISTINA",
        "middle_name": "JEAN",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R33717",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "R33717",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R33717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherman Severson, MD
• Christopher Sharp
• Edward J. Shea, MA, LAC
• Kamille S Sherman, MD
• Nathaniel Dean Shilman, O.D.
• Jessie Nicole Shypkowski, M.S.
• Allen L Siegler Jr., LICSW, BCD
• Lynette Silbernagel, CDE
• Simnioniw Family Chiropractic, PLLC
• Kara Courtney Simons

• Psychiatric/Mental Health Nurse Practitioner in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.