DEREK SCOTT KNOKE FNP
NPI 1811754351
Nurse Practitioner in Grand Ronde, OR

Q: What is Derek Knoke's NPI number?

The NPI number for Derek Knoke is 1811754351. It was assigned to this individual provider in the NPPES registry on March 1, 2024.

Q: What is Derek Knoke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Knoke was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 01, 2024PECOS EnrolledAccepts Medicare Assignment

9605 GRAND RONDE RD, GRAND RONDE, OR 97347(503) 879-2002(503) 879-2071 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Derek Scott Knoke Fnp NPPES

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

DEREK SCOTT KNOKE FNP (NPI 1811754351) is an individual nurse practitioner in Grand Ronde, Oregon, licensed in Oregon (10021520) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, is affiliated with West Valley Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1811754351

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameDEREK SCOTT KNOKECredential: FNP

Location Address9605 GRAND RONDE RDGrand Ronde, OR 97347-9712

Mailing Address9605 Grand Ronde RdGrand Ronde, OR 97347-9712 · (503) 879-2239 · Fax (503) 879-2071

Phone(503) 879-2002

Fax(503) 879-2071

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 1, 2024

Last NPPES UpdateFebruary 13, 2026

NPPES CertifiedFebruary 13, 2026

✔ NPI 1811754351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OR · 10021520

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9605 GRAND RONDE RD, Grand Ronde, OR 97347

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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., PacificSource Health Plans and more.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

Derek Scott Knoke Fnp 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 ID8820436355

PECOS Enrollment IDI20240403002430

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 Reassignment

Medicare enrollment records show Derek Knoke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Confederated Tribes Of The Grand Ronde Community Of Oregon

0.3 mi

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

9605 GRAND RONDE RD
Grand Ronde, OR 97347

Reassigned Medicare billing, Oregon enrollment
27 clinicians in this Medicare group

NPI 1174666358 (503) 879-2236

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

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

West Valley Hospital

Critical Access Hospitals · Dallas, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381308

Location525 SE Washington StreetDallas, OR 97338 · Polk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97347 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.

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.

HEIDI KATHLEEN HICINBOTHOM

Peer Specialist