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MRS. JENNIFER K SHOCKLIE MSN, RN, PMHNP-BC
NPI 1265674121
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since March 24, 2009PECOS EnrolledAccepts Medicare Assignment
5441 S MACADAM AVE STE N, PORTLAND, OR 97239(503) 707-1053(541) 512-6127 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2026, Apr 9, 2026, Oct 6, 2024 and 1 more (4 updates tracked since 2024).

About Mrs. Jennifer K Shocklie Msn, Rn, Pmhnp-bc NPPES

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

MRS. JENNIFER K SHOCKLIE MSN, RN, PMHNP-BC (NPI 1265674121) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10031539) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265674121
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. JENNIFER K SHOCKLIECredential: MSN, RN, PMHNP-BC
Location Address5441 S MACADAM AVE STE NPortland, OR 97239-3822
Mailing Address5441 S Macadam Ave Ste NPortland, OR 97239-3822 · (503) 707-1053 · Fax (541) 512-6127
Phone(503) 707-1053
Fax(541) 512-6127
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 24, 2009
Last NPPES UpdateJune 24, 20264 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1265674121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OR · 10031539✔ Licensed in AZ · 313153
5441 S MACADAM AVE STE N, Portland, OR 97239
Open in Google Maps ↗

Secondary Practice Location 1

Location 14539 N 22nd St Ste NPhoenix, AZ 85016-4639 · Phone (503) 707-1053 · Fax (541) 512-6127

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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. Jennifer K Shocklie Msn, Rn, 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.

PECOS PAC ID7911431218
PECOS Enrollment IDI20241108002376
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Other Providers at the Same Location NPPES 20

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

APRIL CHAREE JACKSON LCSW
Social Worker (Clinical)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Multnomah County (503) 389-6928
RACHEL ELIZABETH SELTZER SONNE MD MPH
Preventive Medicine (Public Health & General Preventive Medicine)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Multnomah County (503) 810-0416
JEREMY RUSSELL JOHNSON LPCA
Counselor (Mental Health)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Multnomah County (909) 360-9341
BLACK SWAN HEALING LLC
Counselor (Mental Health)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Multnomah County (971) 268-7462
CORVALLIS PSYCHIATRY LLC
Psychiatry & Neurology (Psychiatry)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Multnomah County (541) 351-7116
FREEDOM RISING COUNSELING LLC
Counselor
5441 S MACADAM AVE STE N, SUITE N
PORTLAND, OR 97239
Multnomah County (541) 714-3282
REBECCA DANILENKO CRC NCC
Counselor (Mental Health)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Multnomah County (503) 208-4252
ANDREA LYNN LARSEN MA, LPC
Counselor (Professional)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Multnomah County (503) 583-4048

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 Jennifer Shocklie's NPI number?

The NPI number for Jennifer Shocklie is 1265674121. It was assigned to this individual provider in the NPPES registry on March 24, 2009.

Where is Jennifer Shocklie located?

Jennifer Shocklie practices at 5441 S Macadam Ave Ste N, Portland, OR 97239. The listed phone number is (503) 707-1053.

What is Jennifer Shocklie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jennifer Shocklie enrolled in Medicare?

Yes. Jennifer Shocklie 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 Jennifer Shocklie accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Jennifer Shocklie 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 Jennifer Shocklie was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.