Jessica Prock
NPI 1215430061 · General Practice Physician · Portsmouth, VA
Enrolled with Medicare as Order and Referring Only - Other (physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Prock is a General Practice Physician provider in Portsmouth, VA (NPI 1215430061).
Provider details
- NPI number
- 1215430061
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 0102206832 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 200 Mullins DrLebanon, OR 97355-3983Phone: (715) 379-7471
Registry dates
- Enumerated
- 2018-03-16
- Last updated
- 2025-09-25
- Certified
- 2025-09-25
Frequently asked questions
- What is Jessica Prock's NPI number?
- Jessica Prock's National Provider Identifier (NPI) is 1215430061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Prock's specialty?
- Jessica Prock is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Jessica Prock located?
- Jessica Prock's practice location on file with NPPES is 620 John Paul Jones Cir, Portsmouth, VA 23708-2111.
- What is Jessica Prock's phone number?
- The practice phone number listed in the NPPES registry for Jessica Prock is (757) 953-5008.
- Does Jessica Prock accept Medicare?
- Jessica Prock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Prock's NPI active?
- Yes — Jessica Prock's NPI (1215430061) is active in the NPPES registry as of the last update on 2025-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.