KRISTYN RENEE PROCKISH PMHNP
NPI 1164112827
Nurse Practitioner - Psychiatric/Mental Health in Bend, OR

Q: What is Kristyn Prockish's NPI number?

The NPI number for Kristyn Prockish is 1164112827. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Q: What is Kristyn Prockish's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kristyn Prockish was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 08, 2023PECOS Enrolled

62930 O B RILEY RD STE 200, BEND, OR 97703(541) 330-1919(833) 972-0672 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2024, May 8, 2023 (2 updates tracked since 2023).

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About Kristyn Renee Prockish Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTYN RENEE PROCKISH PMHNP (NPI 1164112827) is an individual psychiatric/mental health provider in Bend, Oregon, licensed in Oregon (10008017) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kirkland, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164112827

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKRISTYN RENEE PROCKISHCredential: PMHNP

Location Address62930 O B RILEY RD STE 200Bend, OR 97703-9459

Mailing Address399 E 10th AveEugene, OR 97401-3380

Phone(541) 330-1919

Fax(833) 972-0672

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 8, 2023

Last NPPES UpdateSeptember 22, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2025

✔ NPI 1164112827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in OR · 10008017✔ Licensed in WA · AP70011033

62930 O B RILEY RD STE 200, Bend, OR 97703

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Secondary Practice Location 1

Location 112025 115th Ave NE Ste 200Kirkland, WA 98034-6935 · Phone (425) 821-1810

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristyn Renee Prockish Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002341104

PECOS Enrollment IDI20251007003007

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK GOODMAN LCSW

Social Worker (Clinical)

62930 O B RILEY RD STE 200
BEND, OR 97703

Deschutes County (541) 330-1919

MS. AMY DINEEN LMFT

Marriage & Family Therapist

62930 O B RILEY RD STE 200
BEND, OR 97703

Deschutes County (541) 330-1919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristyn Prockish's NPI number?

The NPI number for Kristyn Prockish is 1164112827. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Kristyn Prockish located?

Kristyn Prockish practices at 62930 O B Riley Rd Ste 200, Bend, OR 97703. The listed phone number is (541) 330-1919.

What is Kristyn Prockish's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kristyn Prockish enrolled in Medicare?

Yes. Kristyn Prockish is registered in the Medicare PECOS enrollment system.

What insurance does Kristyn Prockish accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kristyn Prockish as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristyn Prockish was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.