Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Scott Knoke, FNP

Individual provider Nurse Practitioner · NPI 1811754351

Derek Scott Knoke, FNP is a Nurse Practitioner in Grand Ronde, Oregon. Qualified in 2023, 3 years ago. Practices with Confederated Tribes of the Grand Ronde Community of Oregon, a 19-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone: (503) 879-2002
Fax: (503) 879-2071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10021520 (OR)

Record details

NPI number1811754351
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 1, 2024
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Confederated Tribes Of The Grand Ronde Community Of Oregon — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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