Individual provider Active NPI

Jennifer Brie Rock, PNP-CP

  • Pediatric Nurse Practitioner
  • Wilson, NC
National Provider Identifier
1346592649
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5022804 Issued in NC
Practice address
303 Green St E
Wilson, NC 27893-4105
Phone
(252) 243-9800
Fax
(252) 243-9888
NPI assigned
Oct 10, 2012
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5022804 NC Primary

Addresses

Primary practice location

303 Green St E
Wilson, NC 27893-4105

Mailing address

303 Green St E
Wilson, NC 27893-4105
Phone (252) 243-9800

Other identifiers 2

IdentifierTypeStateIssuer
5022804OtherNCLICENSE
02124OtherNMCPN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251215000133 NC Practitioner - Nurse Practitioner 7315182219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

303 Green St E
Wilson, NC 27893-4105

PO Box
Chattanooga, TN 37422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5022804NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Health Centers, Inc CurrentSince Sep 22, 2025 Accepting new patients
Carolina Family Health Centers, Inc CurrentSince Sep 22, 2025 Accepting new patients
Carolina Family Health Centers, Inc Past Accepting new patients

Locations

8250 NC 58 S
Elm City, NC 27822
Phone (252) 443-7744

162 NC Highway 33 E
Tarboro, NC 27886
Phone (252) 641-0514

303 Green St E
Wilson, NC 27893
Phone (252) 243-9800

Interoperability endpoints

  • Direct secure messaging: jrock828359@direct.ochin.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1346592649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GREEN ST E",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934105",
            "telephone_number": "252-243-9800",
            "fax_number": "252-243-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GREEN ST E",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934105",
            "telephone_number": "252-243-9800",
            "fax_number": "252-243-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "JENNIFER",
        "middle_name": "BRIE",
        "credential": "PNP-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5022804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5022804",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPN LICENSE",
            "identifier": "02124",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.