Jennifer Shocklie, MSN, RN, PMHNP-BC
NPI 1265674121 · Psychiatric/Mental Health Nurse Practitioner · Portland, OR
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Shocklie, MSN, RN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Portland, OR (NPI 1265674121).
Provider details
- NPI number
- 1265674121
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, RN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 313153 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2009-03-24
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Jennifer Shocklie's NPI number?
- Jennifer Shocklie's National Provider Identifier (NPI) is 1265674121, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Shocklie's specialty?
- Jennifer Shocklie is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jennifer Shocklie located?
- Jennifer Shocklie's practice location on file with NPPES is 5441 S Macadam Ave Ste N, Portland, OR 97239-3822.
- What is Jennifer Shocklie's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Shocklie is (503) 707-1053.
- Does Jennifer Shocklie accept Medicare?
- Jennifer Shocklie is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Shocklie's NPI active?
- Yes — Jennifer Shocklie's NPI (1265674121) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.