Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jennifer K Shocklie, MSN, RN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1265674121

Mrs. Jennifer K Shocklie, MSN, RN, PMHNP-BC is a Nurse Practitioner in Portland, Oregon. Qualified in 2024, 2 years ago. Practices with McArthur Gruff and Associates LLC, a 17-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Oregon.

Years since qualifying
2
Licensed in
AZ, OR
In the registry since
2009
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

5441 S Macadam Ave Ste N
Portland, OR 97239-3822
Phone: (503) 707-1053
Fax: (541) 512-6127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4539 N 22nd St Ste N, Phoenix, AZ 85016-4639 — (503) 707-1053

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10031539 (OR)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 313153 (AZ)

Record details

NPI number1265674121
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , RN , PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 24, 2009
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice McArthur Gruff And Associates Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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