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

Kristyn Renee Prockish, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1164112827

Kristyn Renee Prockish, PMHNP is a Nurse Practitioner in Bend, Oregon. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Oregon and Washington.

Years since qualifying
4
Licensed in
OR, WA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

62930 O B Riley Rd Ste 200
Bend, OR 97703-9459
Phone: (541) 330-1919
Fax: (833) 972-0672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12025 115th Ave Ne Ste 200, Kirkland, WA 98034-6935 — (425) 821-1810

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10008017 (OR)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP70011033 (WA)

Record details

NPI number1164112827
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedMay 8, 2023
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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