Active NPIIndividual provider

Ms. Melissa C Bock, APN; PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Bend, Oregon

NPI Number1316217953
Practice location
2577 NE Courtney Dr, Bend, OR 97701-7638
Fax
541-322-7565
Last updated
April 19, 2016

Melissa Cornett Bock is a Nurse Practitioner, Psych/Mental Health based in Bend, OR. Melissa Cornett Bock practices in Bend, OR and has the professional credentials of APN; PMHNP-BC. The NPI Number for Melissa Cornett Bock is 1316217953 and holds a License No. RN # 1095982 (KY). The current practice location address for Melissa Cornett Bock is 2577 NE Courtney Dr, Bend, OR 97701-7638 and can be reached out via phone at 541-322-7521 and via fax at 541-322-7565.

Provider Profile Details

NPI Number
1316217953
Provider Name
Melissa Cornett Bock
Credential
APN; PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2577 NE Courtney Dr, Bend, OR 97701-7638
Phone Number
541-322-7521
Fax Number
541-322-7565
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Other Names
Melissa D Cornett-Kearnely, MSN (Former Name)
Provider Enumeration Date
January 12, 2012
Last Update Date
April 19, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
2577 NE Courtney Dr
Bend, OR 97701-7638
City
Bend
State
Oregon
Zip
97701-7638
Phone Number
541-322-7521
Fax Number
541-322-7565
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
2577 NE Courtney Dr
Bend, OR 97701-7638
City
Bend
State
OR
Zip
97701-7638
Phone Number
541-322-7521
Fax Number
541-322-7565

License Information

License Number (1)
RN # 1095982
License State (1)
KY
Taxonomy (1)
Registered Nurse, Psych/Mental Health · 163WP0808X
License Number (2)
201601087
License State (2)
OR
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (3)
201600791
License State (3)
OR
Taxonomy (3)
Registered Nurse · 163W00000X
License Number (4)
APRN# 3007370
License State (4)
KY
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (5)
APN18054
License State (5)
TN
Taxonomy (5)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (6)
RN157517
License State (6)
TN
Taxonomy (6)
Registered Nurse, Psych/Mental Health · 163WP0808X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Melissa C Bock, APN; PMHNP-BC?

The NPI number of Ms. Melissa C Bock, APN; PMHNP-BC is 1316217953. It was assigned on January 12, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Melissa C Bock, APN; PMHNP-BC?

Ms. Melissa C Bock, APN; PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in KY under license number RN # 1095982.

Where does Ms. Melissa C Bock, APN; PMHNP-BC practice?

The practice location is 2577 NE Courtney Dr, Bend, OR 97701-7638. The office can be reached at 541-322-7521 (phone) or 541-322-7565 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316217953 directly on the NPPES registry website.

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