Cynthia Jolene Kinser, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

53-83908-102 Issued in KS

Practice address

1601 W 4TH St
Coffeyville, KS 67337-3333

Phone

(620) 251-7400

Fax

(620) 251-7400

NPI assigned

Nov 8, 2024

Last updated

Jan 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Four County Mental Health Center IncGroup PAC ID 7012904071, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Four County Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Independence, KS
  • NPI 1841290251
  Medicare reassignment Care Compare group NPD
• Four County Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Independence, KS
  • NPI 1598845984
  NPD

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1053135848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 JACKSON RD",
            "city": "EDNA",
            "state": "KS",
            "postal_code": "673429329",
            "telephone_number": "620-515-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373333",
            "telephone_number": "620-251-7400",
            "fax_number": "620-251-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSER",
        "first_name": "CYNTHIA",
        "middle_name": "JOLENE",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-119249-102",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-83908-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Isaacs
• Susan D Jenkins, C.R.N.A.
• Brock James Juffs, MD
• Nalini Reddy Kakulavaram, M.D.
• Virginia King
• Jo A Kinzie, RDH
• Karen Lynn Kneedler, LPN
• Garrett Scott Koehn, MD
• Antoinette Koger
• Gayla J Kulwicki, OTA

• Psychiatric/Mental Health Nurse Practitioner in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.