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Jacque Cobb , FNP

Nurse Practitioner - Family β€’ Pendleton, OR

Active NPI 1093587933 Individual Practitioner Female Practitioner
Practice location in NPPES

2801 St Anthony Way
Pendleton, OR 978013800

Call 5412765121 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2801 St Anthony Way

Pendleton, OR 978013800

Telephone 5412765121
Fax 5412784579
Organization at the Same NPPES Address or Phone
Commonspirit Oregon Facility NPI 1649276734

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Jacque Cobb as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pendleton and Oregon

16 active clinicians are listed under Nurse Practitioner - Family with a practice address in Pendleton, OR (2,384 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pendleton

0% of these 16 clinicians have the CMS telehealth indicator.

25% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-22
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES OR 10063313
Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES OR 200340354

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Nancy Brown , CRNA

Nurse Anesthetist, Certified Registered

NPI 1548239882

Certified Registered Nurse Anesthetist

Adam Carrillo , PT

Physical Therapist

NPI 1730567959

Physical Therapist

Dr. Brian Letts , MD

Emergency Medicine

NPI 1174526313

Doctor of Medicine (M.D.)

Dr. Kelly Pridgen , MD

Emergency Medicine

NPI 1013955798

Doctor of Medicine (M.D.)

Dr. Kathleen Stein , DO

Emergency Medicine

NPI 1932141959

Doctor of Osteopathic Medicine (D.O.)

Dr. Sheldon Wendler , MD

Emergency Medicine

NPI 1255379657

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location July 22, 2026

Registered at 2801 ST ANTHONY WAY, PENDLETON, OR 978013800 (Tel: 5412765121)

πŸ“
Updated Business Mailing Address July 22, 2026

Registered at 2801 ST ANTHONY WAY, PENDLETON, OR 978013800 (Tel: 5412765121)

πŸ‘€
Provider Name / Credentials Updated July 22, 2026

Recorded as JACQUE COBB, FNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2026

Registered Nurse (license number reported to NPPES: OR 200340354)

πŸ”„
NPI Profile Reactivated July 16, 2026

Record officially reactivated for active practice on July 16, 2026

⚠️
NPI Profile Deactivated April 30, 2026

NPPES lists this NPI as deactivated as of April 30, 2026; the reason is not published.

βœ…
NPI Profile Active October 24, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 24, 2023

Registered at 2301 COVE AVE, LA GRANDE, OR 978503906 (Tel: 4159628800)

πŸ“
Business Mailing Address (Initial Record) October 24, 2023

Registered at 2301 COVE AVE, LA GRANDE, OR 978503906 (Tel: 4159628800)

πŸ‘€
Provider Name / Credentials (Initial Record) October 24, 2023

Recorded as JACQUE COBB, RN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2023

Registered Nurse (license number reported to NPPES: OR 200340354)

🟒
Initial NPI Registration & Enumeration October 24, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093587933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2023
Last Update: July 22, 2026
Sole Proprietor: No

Other Nurse Practitioner - Family Specialists in Pendleton

All Nurse Practitioner - Family Specialists in Pendleton

Mailing Address

2801 St Anthony Way

Pendleton, OR 978013800

Phone: 5412765121

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.