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

Jessica Ann Shrock, FNP--C

Individual provider Family Nurse Practitioner · NPI 1184075715

Jessica Ann Shrock, FNP--C is a Nurse Practitioner in Bandon, Oregon. Qualified in 2016, 10 years ago. Practices with North Bend Medical Center Inc, a 91-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Tennessee.

Years since qualifying
10
Licensed in
OR, TN
In the registry since
2016
Specialties on file
2

Practice location Address checks out

110 10th St SE
Bandon, OR 97411-9157
Phone: (541) 347-5191
Fax: (541) 266-4578
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10035565 (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 21334 (TN)

Record details

NPI number1184075715
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP--C
Sole proprietorNo
NPI enumeratedJune 24, 2016
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice North Bend Medical Center Inc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Bandon