Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katy Jean Srock, CNP

Individual provider Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1790138550

Katy Jean Srock, CNP is a Nurse Practitioner in Brainerd, Minnesota. Qualified in 2016, 10 years ago. Practices with Northern Pines Mental Health Center Inc, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2016
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

520 NW 5th St
Brainerd, MN 56401-2902
Phone: (218) 829-3235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0808X · Licence R 210000-5 (MN)

Record details

NPI number1790138550
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedJuly 18, 2016
Last updated in NPPESNovember 29, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northern Pines Mental Health Center Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services