Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1093587933 Deactivated / Inactive NPI Female Practitioner

Jacque Cobb , FNP

Nurse Practitioner - Family • Pendleton, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacque Cobb has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 24, 2023
NPI Deactivation Date April 30, 2026
Total Practice Duration ~3 Years of Practice (2023 – 2026)

Professional Overview & Biography Verified Profile Summary

Jacque Cobb, FNP was a registered Nurse Practitioner - Family practicing in Pendleton, OR. Throughout an active medical career spanning 3 years, Jacque Cobb provided care at the practice location at 2801 ST ANTHONY WAY until profile deactivation on 2026-04-30.

Practice Location & Contact Primary Location

Practice Address

2801 St Anthony Way

Pendleton, OR 978013800

Telephone 5412765121
Fax 5412784579
Associated Practice Facility / Clinic
🏢 Commonspirit Oregon Facility NPI 1649276734

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Pendleton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Pendleton, OR (2410 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-22
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License OR 10063313

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Kelly Pridgen , MD

Emergency Medicine

NPI 1013955798

Doctor of Medicine (M.D.)

William Harris , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083675847

Certified Registered Nurse Anesthetist

Dr. Brian Letts , MD

Emergency Medicine

NPI 1174526313

Doctor of Medicine (M.D.)

Francis Demers , CRNA

Nurse Anesthetist, Certified Registered

NPI 1184667230

Certified Registered Nurse Anesthetist

Dr. Carlotto Fisher , MD

Obstetrics & Gynecology

NPI 1205157732

Doctor of Medicine (M.D.)

Dr. Sheldon Wendler , MD

Emergency Medicine

NPI 1255379657

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 22, 2026

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

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Updated Business Mailing Address July 22, 2026

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

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Provider Name / Credentials Updated July 22, 2026

Recorded as JACQUE COBB, FNP

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

Registered Nurse (License #200340354 in OR)

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NPI Profile Deactivated April 30, 2026

Record deactivated on April 30, 2026

NPI Profile Active October 24, 2023

NPI status registered as active in NPPES database

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Updated Practice Location October 24, 2023

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

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Updated Business Mailing Address October 24, 2023

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

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Provider Name / Credentials Updated October 24, 2023

Recorded as JACQUE COBB, RN

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

Registered Nurse (License #200340354 in OR)

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Initial NPI Registration & Enumeration October 24, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
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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
Deactivation Date: April 30, 2026
Sole Proprietor: No

Mailing Address

2801 St Anthony Way

Pendleton, OR 978013800

Phone: 5412765121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.