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JESSICA ANN SHROCK FNP--C
NPI 1184075715
Nurse Practitioner - Family in Bandon, OR

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
110 10TH ST SE, BANDON, OR 97411(541) 347-5191(541) 266-4578 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 9, 2025, Jun 12, 2018, Aug 12, 2016 and 1 more (4 updates tracked since 2016).

About Jessica Ann Shrock Fnp--c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ANN SHROCK FNP--C (NPI 1184075715) is an individual family provider in Bandon, Oregon, licensed in Oregon (10035565) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Bay Area Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184075715
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA ANN SHROCKCredential: FNP--C
Location Address110 10TH ST SEBandon, OR 97411-9157
Mailing Address1900 Woodland DrCoos Bay, OR 97420-2099 · (541) 267-5151 · Fax (541) 266-4578
Phone(541) 347-5191
Fax(541) 266-4578
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 24, 2016
Last NPPES UpdateMay 9, 20254 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1184075715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OR · 10035565✔ Licensed in TN · 21334
110 10TH ST SE, Bandon, OR 97411
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Ann Shrock Fnp--c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345520847
PECOS Enrollment IDI20161129000415, I20250113002274
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Shrock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Bend Medical Center Inc
21 mi
Diagnostic Radiology
1900 WOODLAND DR
Coos Bay, OR 97420
  • Reassigned Medicare billing, Oregon enrollment
  • 220 clinicians in this Medicare group
NPI 1063428308 (541) 267-5151
Healogics Specialty Physicians Of Tennessee, PLLC
2,009 mi
Undersea and Hyperbaric Medicine
647 DUNLOP LN STE 108
Clarksville, TN 37040
  • Reassigned Medicare billing, Tennessee enrollment
  • 33 clinicians in this Medicare group
NPI 1932527090 (931) 502-3660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bay Area Hospital

Acute Care Hospitals · Coos Bay, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

Southern Coos Hospital & Health Center

Critical Access Hospitals · Bandon, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381304
Location900 11th Street SEBandon, OR 97411 · Coos County
Emergency services

Curry General Hospital

Critical Access Hospitals · Gold Beach, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381322
Location94220 Fourth StreetGold Beach, OR 97444 · Curry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.15
Promoting Interoperability94
Improvement Activities40
Cost58.74

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
3 suppliers34 claims302 services$22.13 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
3 suppliers38 claims182 services$6.92 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier20 claims20 services$13.75 avg. paid by Medicare
Manual wheelchair accessory, push-rim activated power assist system E0986
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$382.37 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
2 suppliers25 claims25 services$652.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA DELAINE DODD FNP
Nurse Practitioner (Family)
110 10TH ST SE
BANDON, OR 97411
Coos County (541) 347-5191
TRACY ANN MERRIAM LCSW
Social Worker (Clinical)
110 10TH ST SE
BANDON, OR 97411
Coos County (541) 347-5191
MARY NELL ANKER N.P.
Nurse Practitioner
110 10TH ST SE
BANDON, OR 97411
Coos County (541) 347-2313
DR. JONATHON LEX PARK MD
Family Medicine
110 10TH ST SE
BANDON, OR 97411
Coos County (541) 347-2313
SUZANNE YOST F.N.P.
Nurse Practitioner (Primary Care)
110 10TH ST SE
BANDON, OR 97411
Coos County (541) 267-5151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Shrock's NPI number?

The NPI number for Jessica Shrock is 1184075715. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Jessica Shrock located?

Jessica Shrock practices at 110 10th St SE, Bandon, OR 97411. The listed phone number is (541) 347-5191.

What is Jessica Shrock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Shrock enrolled in Medicare?

Yes. Jessica Shrock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jessica Shrock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Shrock reassigns Medicare benefits to 2 organizations: North Bend Medical Center Inc (Coos Bay, OR) and Healogics Specialty Physicians Of Tennessee, PLLC (Clarksville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Shrock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Shrock accept?

Health plans from Moda Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Jessica Shrock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jessica Shrock affiliated with any hospitals?

According to CMS data, Jessica Shrock is affiliated with Bay Area Hospital, Southern Coos Hospital & Health Center and Curry General Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Shrock was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.