NPIMap

Individual provider Active NPI

Heather R Brock, ARNP

  • Nurse Practitioner
  • La Grande, OR
National Provider Identifier
1700939683
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201900699NP-PP Issued in 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
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201900699NP-PP OR Primary

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 1

  • Heather R Brock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190515002965 OR Practitioner - Nurse Practitioner 4880790278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201900699NP-PPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wallowa County Health Care District CurrentSince Aug 1, 2025 Accepting new patients
Wallowa County Health Care District CurrentSince Aug 1, 2025 Accepting new patients
Genesis Dermatology CurrentSince Jan 8, 2023 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients
Wallowa County Health Care District Past Accepting new patients

Locations

306 W North St
Enterprise, OR 97828
Phone (541) 426-7171

601 Medical Pkwy
Enterprise, OR 97828
Phone (541) 426-3111

603 Medical Pkwy
Enterprise, OR 97828
Phone 54142645025933

1902 4th St
Ste 3
La Grande, OR 97850
Phone (541) 663-0007

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1700939683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 4TH ST STE 3",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502558",
            "telephone_number": "541-663-0007",
            "fax_number": "541-663-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 4TH ST STE 3",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502558",
            "telephone_number": "541-663-0007",
            "fax_number": "541-663-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "HEATHER",
        "middle_name": "R",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201900699NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BROCK",
            "middle_name": "R",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Grande, OR

Sources for this page

Verify at the official NPI Registry.