Mrs Jenna L Shock, MSN, APRN, PMHNP-BC in Fort Wayne, IN

Mrs Jenna L Shock, MSN, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Wayne, Indiana. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shock Therapy Group Llc and her current practice location is 1690 Broadway, Building 19, Suite 10, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 200-4940.

Mrs Jenna L Shock is licensed to practice in Indiana (license number 71009466A) 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 1255984738.

Contact Information

	Mrs Jenna L Shock, MSN, APRN, PMHNP-BC
	1690 Broadway, Building 19, Suite 10, Fort Wayne, IN 46802-2012
	(260) 200-4940
	(949) 404-6540

Map and Direction

Provider's Profile

Full Name	Mrs Jenna L Shock
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	1690 Broadway, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jenna L Shock graduated from nursing school in 2013

NPI Data:

NPI Number: 1255984738
Provider Enumeration Date: 07/23/2019
Last Update Date: 05/19/2023

Medicare PECOS Information:

PECOS PAC ID: 3870825805
Enrollment ID: I20191024001723

Medical Identifiers

Medical identifiers for Mrs Jenna L Shock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255984738	NPI	-	NPPES
300031451	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71009466A (Indiana)	Primary
163WP0808X	Registered Nurse - Psychiatric/mental Health	28184986A (Indiana)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shock Therapy Group Llc	6406394352	3

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. Mrs Jenna L Shock allows following entities to bill medicare on her behalf.

Entity Name	Cameron Memorial Community Hospital Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1386683316 PECOS PAC ID: 9234020835 Enrollment ID: O20060622000002

Entity Name	Shock Therapy Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538869532 PECOS PAC ID: 6406394352 Enrollment ID: O20240809003852

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. Mrs Jenna L Shock 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
Mrs Jenna L Shock, MSN, APRN, PMHNP-BC 1690 Broadway, Building 19, Suite 10, Fort Wayne, IN 46802-2012 Ph: (260) 200-4940	Mrs Jenna L Shock, MSN, APRN, PMHNP-BC 1690 Broadway, Building 19, Suite 10, Fort Wayne, IN 46802-2012 Ph: (260) 200-4940

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-436-0800 Fax: 260-483-1911
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Mr. Justin Michael Garrison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4008 Stanton Dr, Fort Wayne, IN 46815 Phone: 260-760-7753
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455

Mrs Jenna L Shock, MSN, APRN, PMHNP-BC - Medicare Nurse Practitioner in Fort Wayne, IN