Jessica Ann Shrock, FNP--C - Medicare Nurse Practitioner in Bandon, OR

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Jessica Ann Shrock, FNP--C is a medicare enrolled "Nurse Practitioner - Family" in Bandon, Oregon. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Bend Medical Center Inc, North Bend Medical Center Inc and her current practice location is 110 10th St Se, Bandon, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 347-5191.

Jessica Ann Shrock is licensed to practice in Oregon (license number 10035565) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184075715.

Contact Information

Jessica Ann Shrock, FNP--C
110 10th St Se,
Bandon, OR 97411-9157
(541) 347-5191
(541) 266-4578

Map and Direction




Provider's Profile

Full NameJessica Ann Shrock
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location110 10th St Se, Bandon, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Ann Shrock graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1184075715
  • Provider Enumeration Date: 06/24/2016
  • Last Update Date: 05/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0345520847
  • Enrollment ID: I20161129000415

Medical Identifiers

Medical identifiers for Jessica Ann Shrock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184075715NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 21334 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 10035565 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northcrest Medical CenterSpringfield, TNHospital
Bay Area HospitalCoos bay, ORHospital
Tristar Hendersonville Medical CenterHendersonville, TNHospital
Southern Coos Hospital & Health CenterBandon, ORHospital
Tennova Healthcare-clarksvilleClarksville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Bend Medical Center Inc559767771680
North Bend Medical Center Inc559767771680

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. Jessica Ann Shrock allows following entities to bill medicare on her behalf.
Entity NameSurgical Alliance Of Middle Tennessee Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255387569
PECOS PAC ID: 4284647967
Enrollment ID: O20060725000120
Entity NameHealogics Specialty Physicians Of Tennessee, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932527090
PECOS PAC ID: 2961720313
Enrollment ID: O20150414002280

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. Jessica Ann Shrock 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 AddressPractice Location Address
Jessica Ann Shrock, FNP--C
1900 Woodland Dr,
Coos Bay, OR 97420-2099

Ph: (541) 267-5151		Jessica Ann Shrock, FNP--C
110 10th St Se,
Bandon, OR 97411-9157

Ph: (541) 347-5191

Reviews and Comments


Nurse Practitioner Nurses in Bandon, OR

Anna Delaine Dodd, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 10th St Se, Bandon, OR 97411
Phone: 541-347-5191    Fax: 541-347-2015
Stephanie Ann Empson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1010 1st St Se Ste 110, Bandon, OR 97411
Phone: 541-347-2529    
Mary Nell Anker, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 110 10th St Se, Bandon, OR 97411
Phone: 541-347-2313    Fax: 541-347-2015
Diane Michele Reid, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1010 1st St Se Ste 110, Bandon, OR 97411
Phone: 541-347-2529    
Angela Heather Marcucilli, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 10th St Se, Bandon, OR 97411
Phone: 541-347-2313    
Ms. Ingrid Maria Tyson, MS FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 780 2nd St Se, Bandon, OR 97411
Phone: 541-347-2529    Fax: 541-347-9196

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.