Katy Jean Srock, CNP - Medicare Nurse Practitioner in Brainerd, MN

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Katy Jean Srock, CNP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Brainerd, Minnesota. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northern Pines Mental Health Center Inc and her current practice location is 520 Nw 5th St, Brainerd, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 829-3235.

Katy Jean Srock is licensed to practice in Minnesota (license number R 210000-5) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790138550.

Contact Information

Katy Jean Srock, CNP
520 Nw 5th St,
Brainerd, MN 56401-2902
(218) 829-3235
Not Available

Map and Direction




Provider's Profile

Full NameKaty Jean Srock
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location520 Nw 5th St, Brainerd, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katy Jean Srock graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1790138550
  • Provider Enumeration Date: 07/18/2016
  • Last Update Date: 11/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7113214172
  • Enrollment ID: I20160920001124

Medical Identifiers

Medical identifiers for Katy Jean Srock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790138550NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health R 210000-5 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northern Pines Mental Health Center Inc862897969712

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katy Jean Srock allows following entities to bill medicare on her behalf.
Entity NameNorthern Pines Mental Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013904051
PECOS PAC ID: 8628979697
Enrollment ID: O20040114000463

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katy Jean Srock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katy Jean Srock, CNP
520 Nw 5th St,
Brainerd, MN 56401-2902

Ph: (218) 829-3235		Katy Jean Srock, CNP
520 Nw 5th St,
Brainerd, MN 56401-2902

Ph: (218) 829-3235

Reviews and Comments


Clinical Nurse Specialist Nurses in Brainerd, MN

Ms. Rosemary B Leonard, MA RN CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 520 Nw 5th St, Brainerd, MN 56401
Phone: 218-829-3235    
Ms. Barbara J Risnes, CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 2024 S 6th St, Diabetes Resource Program, Brainerd, MN 56401
Phone: 218-828-7100    
Patricia Josephine Herron, APRN, BC, CNS
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 520 Nw 5th St, Brainerd, MN 56401
Phone: 218-829-3235    Fax: 218-829-1368

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.