JESSICA PROCK
NPI 1215430061
Military Health Care Provider in Portsmouth, VA
NPI Status: Active since March 16, 2018
Contact Information
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA
ZIP 23708
Phone: (757) 953-5008
- Individual
- Female
- Military Health Care Provider
- PECOS Enrolled
About JESSICA PROCK
This page provides the complete NPI Profile along with additional information for Jessica Prock, a provider established in Portsmouth, Virginia with a medical specialization in Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1215430061 assigned on March 2018. The practitioner's primary taxonomy code is 171000000X with license number 0102206832 (VA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1215430061
- Provider Name
- JESSICA PROCK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 620 JOHN PAUL JONES CIR PORTSMOUTH, VA 23708
- Location Phone
- (757) 953-5008
- Mailing Address
- 620 JOHN PAUL JONES CIR PORTSMOUTH, VA 23708
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-16-2018
- Last Update Date
- 06-07-2024
- Code Navigator
Location Map
Secondary Locations
- 200 Mullins Dr
Lebanon, OR 97355
(715) 379-7471
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider
- Taxonomy Code
- 171000000X
- Type
- Other Service Providers
- License No.
- 0102206832
- License State
- VA
- Taxonomy Description
- Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 0102206832 (VA) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Jessica Prock is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 4 | 3 | 0 | 0 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 8 | 3 | 0 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 8 + 3 + 0 + 0 + 1 + 2 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1215430061 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427054840 | DEBRA TOOKE CROWELL RN, CNM Individual | Registered Nurse | 620 JOHN PAUL JONES CIR PORTSMOUTH, VA 23708 (757) 953-0399 |
| 1720084007 | DR. DEIDRA BARNES FLANARY DDS Individual | Dentist (Periodontics) | 620 JOHN PAUL JONES CIR PORTSMOUTH, VA 23708 (757) 953-0501 |
| 1467447128 | REBEKAH R. BROOKS CRNA Individual | Nurse Anesthetist, Certified Registered | 620 JOHN PAUL JONES CIR PORTSMOUTH, VA 23708 (757) 953-3182 |
| 1942297395 | CLAUDIA EDITH GONZALEZ MD Individual | Family Medicine | 620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH PORTSMOUTH, VA 23708 (757) 953-8454 |
| 1518948827 | CHAN W PARK M.D. Individual | Emergency Medicine | 620 JOHN PAUL JONES CIR PORTSMOUTH, VA 23708 (757) 953-1365 |
| 1730163627 | DR. GARY L. MUNN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER DEPT OF PSYCHIATRY PORTSMOUTH, VA 23708 (757) 953-5269 |
| 1306821335 | MR. THOMAS L HUTCHISON MA Individual | Audiologist | 620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH PORTSMOUTH, VA 23708 (757) 953-0773 |
| 1225016496 | DR. CRAIG IAN SCHRANZ M.D. Individual | Emergency Medicine | 620 JOHN PAUL JONES CIR PORTSMOUTH, VA 23708 (619) 532-6400 |
| 1982683462 | DR. PHILIP JOSEPH BLAINE PHARM.D. Individual | Pharmacist | 620 JOHN PAUL JONES CIR SUITE 1400 PORTSMOUTH, VA 23708 (757) 953-7718 |
| 1679552178 | MR. ROGER NELSON HIRSH RPH MS MBA Individual | Pharmacist | 620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PHARMACY PORTSMOUTH, VA 23708 (757) 953-0246 |
| 1457330979 | LISA K BOGAN OTR, CHT, CLT-LANA Individual | Occupational Therapist (Hand) | 620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH OCCUPATIONAL THERAPY PORTSMOUTH, VA 23708 (757) 953-5419 |
| 1366421638 | DR. ANN PATRICIA FALLON M.D., M.P.H. Individual | Preventive Medicine (Public Health & General Preventive Medicine) | 620 JOHN PAUL JONES CIR SUITE 1100 PORTSMOUTH, VA 23708 (757) 953-0731 |
| 1508845835 | DR. ELIZABETH ANN TONON MD Individual | Ophthalmology | 620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER OPHTHALMOLOGY DEPT PORTSMOUTH, VA 23708 (757) 953-2682 |
| 1295714582 | DR. FRED MARTIN ASHBROOK O.D. Individual | Optometrist | 620 JOHN PAUL JONES CIR PORTSMOUTH, VA 23708 (757) 953-7575 |
| 1821077116 | MR. MICHAEL STEVEN EVANS RPH Individual | Pharmacist | 620 JOHN PAUL JONES CIR PORTSMOUTH, VA 23708 (757) 953-0284 |
| 1568442614 | MR. ROBERT BRUCE FERKI R.PH. Individual | Pharmacist | 620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH/PHARMACY PORTSMOUTH, VA 23708 (757) 953-7462 |
| 1376523340 | DR. CYNTHIA B. PICCIRILLI M.D. Individual | Neurological Surgery | 620 JOHN PAUL JONES CIR PORTSMOUTH, VA 23708 (757) 953-9399 |
| 1780664698 | DR. MELISSA ANN MOHON M.D. M.P.H. Individual | Preventive Medicine (Occupational Medicine) | 620 JOHN PAUL JONES CIR SUITE 1100 PORTSMOUTH, VA 23708 (757) 953-0778 |
| 1932189909 | MR. DAVID LEE SIDDLE RPH Individual | Pharmacist | 620 JOHN PAUL JONES CIR PORTSMOUTH, VA 23708 (757) 953-4931 |
| 1790765501 | DR. LAWRENCE LEE LECLAIR M.D. Individual | Radiology (Diagnostic Radiology) | 620 JOHN PAUL JONES CIR PORTSMOUTH, VA 23708 (757) 953-1195 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215430061, enumerated in the NPI registry as an "individual" on March 16, 2018
The provider is located at 620 John Paul Jones Cir Portsmouth, Va 23708 and the phone number is (757) 953-5008
The provider's speciality is Military Health Care Provider with taxonomy code 171000000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
This NPI record was last updated on March 16, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.