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

Dylan Shockley

Individual provider Acute Care Nurse Practitioner · NPI 1588295836

Dylan Shockley is a Nurse Practitioner in Norman, Oklahoma. Qualified in 2019, 7 years ago. Practices with Norman Regional Providers Specialty Care, a 145-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2020

Practice location Address checks out

1125 N Porter Ave Ste 301
Norman, OK 73071-6443
Phone: (405) 503-0366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 113527 (OK)

Record details

NPI number1588295836
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 27, 2020
Last updated in NPPESJanuary 27, 2020
Certification dateJanuary 27, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Norman Regional Providers Specialty Care — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Norman