MS. MELISSA CORNETT BOCK APN; PMHNP-BC NPI 1316217953

NPI Information

NPI: 1316217953
Provider Name: MS. MELISSA CORNETT BOCK, APN; PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2577 NE COURTNEY DR
BEND, OR
ZIP 97701
Phone: (541) 322-7521
Get Directions

MS. Melissa Cornett Bock, APN; PMHNP-BC is a psychiatric/mental health nurse practitioner in Bend, OR with 10 years of experience. MS. Melissa Cornett Bock, APN; PMHNP-BC NPI is 1316217953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2577 NE COURTNEY DR
BEND, OR
ZIP 97701-638
Phone: (541) 322-7521
Fax: (541) 322-7565

The NPI 1316217953 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/12/2012 and was last updated on 4/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN # 1095982	KENTUCKY	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN# 3007370	KENTUCKY	No
3	163W00000X	Registered Nurse		201600791	OREGON	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APN18054	TENNESSEE	No
5	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN157517	TENNESSEE	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	201601087	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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