Individual provider Active NPI

Katelyn Renae Schruin, MS, CF-SLP

  • Speech-Language Pathologist
  • Mankato, MN
National Provider Identifier
1942026620
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
528844 Issued in MN
Practice address
150 Saint Andrews CT Ste 310
Mankato, MN 56001-8805
Phone
(507) 625-1811
Fax
(507) 388-2108
NPI assigned
Nov 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 528844 MN Primary

Addresses

Primary practice location

150 Saint Andrews CT Ste 310
Mankato, MN 56001-8805

Mailing address

PO Box 8674
Mankato, MN 56002-8674
Phone (507) 389-8507

Other practice location 1

1421 Premier Dr
Mankato, MN 56001-6076
Phone (507) 389-8529

Other names 1

  • Katelyn Renae Schenk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108001893 MN Practitioner - Qualified Speech Language Pathologist 3779011432 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
528844MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Waseca Integrated Therapy Hub, LLC Speech-Language Pathologist CurrentSince Dec 1, 2024 Accepting new patients
Mankato Clinic LTD CurrentSince Nov 10, 2025 Accepting new patients
Pediatric Therapy Services Inc PastSince Nov 24, 2025 Accepting new patients

Locations

1421 Premier Dr
Mankato, MN 56001
Phone (507) 385-4000

115 Landmark Dr NE
Ste 1
Owatonna, MN 55060
Phone (507) 237-6336

117 State St N
Waseca, MN 56093
Phone (507) 237-6336

Interoperability endpoints

  • Direct secure messaging: katelynschruin@mklt.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1942026620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8674",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560028674",
            "telephone_number": "507-389-8507",
            "fax_number": "507-625-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SAINT ANDREWS CT STE 310",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018805",
            "telephone_number": "507-625-1811",
            "fax_number": "507-388-2108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 Premier Dr",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560016076",
            "country_code": "US",
            "telephone_number": "507-389-8529",
            "fax_number": "507-345-1319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRUIN",
        "first_name": "KATELYN",
        "middle_name": "RENAE",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "528844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "SCHENK",
            "middle_name": "RENAE",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.