Heather R Brock, ARNP
Individual provider Active NPI Nurse Practitioner · La Grande, OR
NPI 1700939683 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1700939683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 201900699NP-PP (OR)
- Practice address
- 1902 4TH St Ste 3
La Grande, OR 97850-2558 - Phone
- (541) 663-0007
- Fax
- (541) 663-0010
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wallowa County Health Care District
Practice addresses (Care Compare)
1902 4TH St
Suite 3
La Grande, OR 97850-2558
Phone (541) 663-0007
601 Medical Pkwy
Enterprise, OR 97828-5124
Phone (541) 426-5460
Hospital & facility affiliations
- Wallowa Memorial Hospital
- Grande Ronde Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190515002965 | OR | Practitioner - Nurse Practitioner | 4880790278 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201900699NP-PP | OR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wallowa County Health Care District | Current |
Accepting new patients | |
| Genesis Dermatology | Current |
Accepting new patients | |
| Wallowa County Health Care District | Current |
Accepting new patients | |
| West Florida Medical Center Clinic PA | Past | Accepting new patients | |
| Wallowa County Health Care District | Past | Accepting new patients |
Locations
601 Medical Pkwy
Enterprise, OR 97828
Phone (541) 426-3111
603 Medical Pkwy
Enterprise, OR 97828
Phone 5414264502215
306 W North St
Enterprise, OR 97828
Phone (541) 426-7171
1902 4th St
Ste 3
La Grande, OR 97850
Phone (541) 663-0007
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201900699NP-PP | OR | Yes |
Addresses
Primary practice location
1902 4TH St Ste 3
La Grande, OR 97850-2558
Mailing address
1902 4TH St Ste 3
La Grande, OR 97850-2558
Phone (541) 663-0007
Other names
- Heather R Brock
Other providers in La Grande, OR
- Ron Brand
- Kimberly S Brandt
- Teresa Braseth
- Megan Kelsi-Maher Brassine
- Alexandra Brock
- Seymour Maynard Bronstein
- Debora Brown-Cumpton
- Abigail A Brown
- Daniel Douglas Brown
- Iain Tucker Brown
All providers in La Grande, OR · Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.