MRS. JENNA L SHOCK MSN, APRN, PMHNP-BC
NPI 1255984738
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN
About Mrs. Jenna L Shock Msn, Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNA L SHOCK MSN, APRN, PMHNP-BC (NPI 1255984738) is an individual psychiatric/mental health provider in Fort Wayne, Indiana, licensed in Indiana (71009466A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Mrs. Jenna L Shock Msn, Aprn, Pmhnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jenna Shock's NPI number?
The NPI number for Jenna Shock is 1255984738. It was assigned to this individual provider in the NPPES registry on July 23, 2019.
Where is Jenna Shock located?
Jenna Shock practices at 1690 Broadway Building 19, Suite 10, Fort Wayne, IN 46802. The listed phone number is (260) 200-4940.
What is Jenna Shock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jenna Shock enrolled in Medicare?
Yes. Jenna Shock 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.
What insurance does Jenna Shock accept?
Health plans from CareSource and UnitedHealthcare list Jenna Shock 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.
When was this NPI record last updated?
The NPPES record for Jenna Shock was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Mrs. Jenna L Shock, MSN, APRN, PMHNP-BC · NPI 1255984738
Psychiatric/Mental Health physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since July 23, 2019.
## Identity
- **NPI:** 1255984738 (Entity type: Individual)
- **Enumerated:** July 23, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 71009466A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1690 BROADWAY, BUILDING 19, SUITE 10, Fort Wayne, IN 46802-2012
- **Phone:** (260) 200-4940 · **Fax:** (949) 404-6540
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** May 19, 2023
- **Other identifiers:** Medicaid 300031451 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1255984738) · Data from the CMS NPPES public registry.