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

Q: 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.

Q: What is Jessica Shrock's specialty?

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

Q: 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 15 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.

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: August 09, 2026.

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

On this page

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

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Accepted Insurance

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

Quality

58.15

Promoting Interoperability

Improvement Activities

Cost

58.74

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)