Individual provider Active NPI

Alben B. Shockley, M.D.

  • Family Medicine Physician
  • Henderson, KY
National Provider Identifier
1205816014
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26126 Issued in KY
Practice address
151 N Gardenmile Rd
Henderson, KY 42420-5543
Phone
(812) 485-6030
Fax
(812) 485-6032
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26126 KY Primary
Family Medicine Physician 207Q00000X 01036897A IN

Addresses

Primary practice location

151 N Gardenmile Rd
Henderson, KY 42420-5543

Mailing address

2211 Mayfair Dr
Suite 101
Owensboro, KY 42301-4568
Phone (270) 688-1352

Other practice location 1

2211 Mayfair Dr
Suite 101
Owensboro, KY 42301-4568
Phone (270) 688-1352

Other identifiers 3

IdentifierTypeStateIssuer
6426126600MedicaidKY
000000049664OtherKYBCBS PIN #
100224950MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address alben.shockley.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC
Direct Messaging Address ashockley1804@direct.owensborohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080115000246 IN Practitioner - Family Practice 7719068899 Reassigns benefits to 2 organizations
I20100121000134 KY Practitioner - Family Practice 7719068899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

100 S Rosenberger Ave
Suite B200
Evansville, IN 47712-6504
Phone (812) 433-2000

151 N Gardenmile Rd
Henderson, KY 42420-5543
Phone (270) 830-9186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC CurrentSince Nov 9, 2025 Accepting new patients
Spero Health of Indiana, LLC CurrentSince May 12, 2022 Accepting new patients
St Mary's Medical Group, LLC Family Medicine CurrentSince Nov 9, 2025 Accepting new patients
Spero Health of Kentucky, LLC CurrentSince Apr 8, 2022 Accepting new patients
St. Mary's Health, Inc Family Medicine Past Accepting new patients

Locations

1116 Millis Ave
Ste 101
Boonville, IN 47601
Phone (812) 897-7175

100 S Rosenberger Ave
Ste A200
Evansville, IN 47712
Phone (812) 401-0500

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

100 S Rosenberger Ave
Ste B200
Evansville, IN 47712
Phone (812) 433-2000

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

8202 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 288-9942

7750 Madison Ave
Indianapolis, IN 46227
Phone (317) 888-2827

100 St Marys Epworth Xing
Newburgh, IN 47630
Phone (812) 485-4437

106 Belinda Blvd
Ste 100
Danville, KY 40422
Phone (859) 439-0340

2000 N Elm St
#2
Henderson, KY 42420
Phone (270) 831-6651

1997 Barret Ct
#B
Henderson, KY 42420
Phone (270) 458-1956

151 N Gardenmile Rd
Henderson, KY 42420
Phone (270) 830-9186

4545 Bishop Ln
Unit 101
Louisville, KY 40218
Phone (502) 287-0119

436 N Main St
Madisonville, KY 42431
Phone (270) 216-6216

4505 Lucky Strike Loop
Owensboro, KY 42303
Phone (270) 240-4892

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1205816014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MAYFAIR DR",
            "address_2": "SUITE 101",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014568",
            "telephone_number": "270-688-1352",
            "fax_number": "270-683-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N GARDENMILE RD",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424205543",
            "telephone_number": "812-485-6030",
            "fax_number": "812-485-6032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Mayfair Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423014568",
            "country_code": "US",
            "telephone_number": "270-688-1352",
            "fax_number": "270-683-4313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "ALBEN",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "26126",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01036897A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6426126600",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN #",
            "identifier": "000000049664",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100224950",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alben.shockley.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "151 N Gardenmile Rd",
            "city": "Henderson",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424205543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashockley1804@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "2211 Mayfair Dr",
            "address_2": "Suite 101",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423014568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.