JESSICA MARIE BROCK (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1295148914

JESSICA MARIE BROCK (APRN) is a healthcare provider. based in London, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3008731 (KY). The NPI Number for JESSICA MARIE BROCK (APRN) is 1295148914

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA MARIE BROCK (APRN)
NPI
1295148914
Phone
(606) 260-8532
Address
148 COMMERCIAL DR
Enumeration Date
10 June 2014
Last Update Date
7 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6065936023
Graduation Year
2014 (12 years ago)
PAC ID
2961622600
Group Practice PAC ID
6406764612
Professional Enrollment ID
I20141001001762
Address ID
KY413147505BO200XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for JESSICA MARIE BROCK (APRN)

  • 148 COMMERCIAL DR

    LONDON, KY 407448204

    Phone: (606) 260-8532

    Fax: (606) 260-8534

    Type: Mailing

  • 1010 MAIN ST S

    MC KEE, KY 404477089

    Phone: (606) 287-7104

    Fax: (606) 287-3323

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $1,102.

Total Amount is formed as General ($1,102) + Research ($0) + Ownership ($0) = $1,102.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($277).

Total Amount

$1,102

General + Research + Ownership

Payments

45

Total payment records

General Amount

$1,102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (953 days ago).

Enrollment records

1

Earliest due date

2023-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141001001762INurse PractitionerKY2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40744)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406764612View full group profile
NameSpecialtyState
Mental Health CounselorKY
Mental Health CounselorKY
Mental Health CounselorKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
C H I R O P R A C T I CKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Can I verify JESSICA MARIE BROCK (APRN) with an NPI only?
You can start verification with NPI 1295148914 for JESSICA MARIE BROCK (APRN), then check state licensing separately.
Is JESSICA MARIE BROCK (APRN) listed as active for patients and plans?
The listing shows JESSICA MARIE BROCK (APRN) as active in the NPI system.
What is JESSICA MARIE BROCK (APRN)'s specialty?
The listing groups JESSICA MARIE BROCK (APRN) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JESSICA MARIE BROCK (APRN) based?
JESSICA MARIE BROCK (APRN) is tied to London, Kentucky in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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