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: July 19, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 6

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

Nurse Practitioner (Primary Care)
110 10TH ST SE
BANDON, OR 97411
Nurse Practitioner
110 10TH ST SE
BANDON, OR 97411
Family Medicine
110 10TH ST SE
BANDON, OR 97411
Nurse Practitioner (Family)
110 10TH ST SE
BANDON, OR 97411
Social Worker (Clinical)
110 10TH ST SE
BANDON, OR 97411
Nurse Practitioner (Family)
110 10TH ST SE
BANDON, OR 97411

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184075715, enumerated as an "individual" on June 24, 2016.

The provider is located at 110 10TH ST SE BANDON, OR 97411 and the phone number is (541) 347-5191.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.

Jessica Shrock is affiliated with: BAY AREA HOSPITAL, SOUTHERN COOS HOSPITAL & HEALTH CENTER and CURRY GENERAL HOSPITAL.