Michael David Shockley, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME175337 Issued in FL

Practice address

1447 Medical Park Blvd Ste 407
Wellington, FL 33414-3183

Phone

(561) 333-1335

Fax

(561) 333-4252

NPI assigned

Nov 16, 2015

Last updated

Jul 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

General Surgery

Education

Northwestern University Feinberg Medical School, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275
• HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.shockley@hca4.eclinicaldirectplus.com

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

• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032

  Surgery

  Medicare reassignment Care Compare group NPD
• Andrew J Shapiro MD PA

  • Surgery Physician
  • Wellington, FL
  • NPI 1588838742
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Palms West Hospital Limited Partnership

  dba HCA Florida Palms West Hospital

  • General Acute Care Hospital
  • Loxahatchee, FL
  • NPI 1528014669
  Care Compare affiliation
• Wellington Regional Medical Center LLC

  dba Wellington Regional Medical Center

  • General Acute Care Hospital
  • Wellington, FL
  • NPI 1720078702
  Care Compare affiliation

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1467826362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD STE 407",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143183",
            "telephone_number": "561-333-1335",
            "fax_number": "561-333-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD STE 407",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143183",
            "telephone_number": "561-333-1335",
            "fax_number": "561-333-4252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 W Oak St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414998",
            "country_code": "US",
            "telephone_number": "407-518-2702",
            "fax_number": "407-518-3923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 E Huron St",
            "address_2": "Suite 1-200",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112909",
            "country_code": "US",
            "telephone_number": "312-503-7975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-16",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME175337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Healthcorp Inc
• Sheridan Lynn Koplow Ed D PA
• Steven Sherman, MD
• Nitsa Shimoni, RPH
• Sachiko Shinohara-Lewis, DPT
• James Shoenfelt IV
• Danielle Shoiock
• Randall C Shults III, DDS, MA, PHD
• Cassandra Sierra
• Jennifer Sierra, ARNP

• Surgery Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.