Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Jennifer K Shocklie, MSN, RN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner in Portland, OR · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265674121

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Registry record

Entity type Individual (Type 1)

Name Mrs. Jennifer K Shocklie

Credential MSN, RN, PMHNP-BC

Sex Female

Practice address 5441 S Macadam Ave Ste N, Portland, OR, 97239

Phone (503) 707-1053

Fax (541) 512-6127

Enumeration date Mar 24, 2009

Last updated in NPPES Jun 24, 2026

Taxonomy & licenses

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 313153 (AZ) Secondary

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 10031539 (OR) Primary

RN · Registered Nurse: A nurse who completed an accredited nursing program and passed the NCLEX-RN licensure exam. About the RN credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1265674121 active?

Yes, as of the latest NPPES snapshot, NPI 1265674121 is active (record last updated 2026-06-24).

How do I verify Jennifer Shocklie's NPI record?

Cross-check NPI 1265674121 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-24.