Derek Scott Knoke, FNP in Grand Ronde, OR - Medicare Nurse Practitioner

Derek Scott Knoke, FNP is a medicare enrolled "Nurse Practitioner" in Grand Ronde, Oregon. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Icco Llc and his current practice location is 9605 Grand Ronde Rd, Grand Ronde, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 879-2002.

Derek Scott Knoke is licensed to practice in Oregon (license number 10021520) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811754351.

Contact Information

	Derek Scott Knoke, FNP
	9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712
	(503) 879-2002
	(503) 879-2071

Map and Direction

Provider's Profile

Full Name	Derek Scott Knoke
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	9605 Grand Ronde Rd, Grand Ronde, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Derek Scott Knoke graduated from nursing school in 2023

NPI Data:

NPI Number: 1811754351
Provider Enumeration Date: 03/01/2024
Last Update Date: 02/13/2026

Medicare PECOS Information:

PECOS PAC ID: 8820436355
Enrollment ID: I20240403002430

Medical Identifiers

Medical identifiers for Derek Scott Knoke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811754351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	10021520 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Good Shepherd Medical Center	Hermiston, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Icco Llc	1355406729	108

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Derek Scott Knoke allows following entities to bill medicare on his behalf.

Entity Name	Icco Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510

Entity Name	Oregon Medical Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922585314 PECOS PAC ID: 1456686013 Enrollment ID: O20190718001895

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derek Scott Knoke is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Derek Scott Knoke, FNP 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2239	Derek Scott Knoke, FNP 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002

Reviews and Comments

Nurse Practitioner Nurses in Grand Ronde, OR

Mr. Maurice A Ajaifia, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2026
Ms. Wendy Monette Schmolzi, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 Fax: 503-879-2071
Karrie Martin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2060 Fax: 503-879-2071
Tricia Raye Hayden, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2060
Chantel M Allen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 Fax: 503-879-2071
Deborah Anne Samoson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002

Derek Scott Knoke, FNP - Medicare Nurse Practitioner in Grand Ronde, OR