Active NPI
Charles Christian Kohnken, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Hillsboro, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10035421
- Practice address
- 535 SE Washington St
Hillsboro, OR 97123-4142 - Phone
- (503) 755-6703
- Fax
- (503) 755-6704
- NPI assigned
- Jul 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP11291 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN 9331526 | FL | |
| Nurse Practitioner | 363L00000X | APRN9331526 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10035421 | OR | Primary |
Addresses
Primary practice location
535 SE Washington St
Hillsboro, OR 97123-4142
Mailing address
833 Callista Cay Loop
Tarpon Springs, FL 34689-0002
Phone (727) 810-1556
Other practice location 1
1951 NW 7th Ave Ste 300
Miami, FL 33136-1112
Phone (813) 924-6468
Other practice location 2
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 779-6303
Other practice location 3
395 SW Bluff Dr Ste 10
Bend, OR 97702-1670
Phone (503) 755-6703
Other practice location 4
2273 E Wilcox Dr
Sierra Vista, AZ 85635-2755
Phone (520) 226-0560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AZ, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
107 E 4TH St
Eloy, AZ 85131-2506
Phone (520) 466-7765
1326 W Hwy 92
Suite J
Bisbee, AZ 85603-1151
Phone (520) 366-3603
1773 W Saint Marys Rd
Suite 105
Tucson, AZ 85745-2654
Phone (520) 622-8357
301 E 4TH St
Suite a
Safford, AZ 85546-2074
Phone (928) 792-4242
5055 E Broadway Blvd
Suite A200
Tucson, AZ 85711-3649
Phone (520) 901-4800
535 SE Washington St
Hillsboro, OR 97123-4142
Phone (503) 755-6703
556 S Arizona Blvd
Coolidge, AZ 85128-5106
Phone (520) 723-7405
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9331526 | FL | MD | Nurse Practitioner |
| APRN 9331526 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 10035421 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
Locations (25 of 41)
500 S Highway 80
Ste A
Benson, AZ 85602
Phone (520) 720-0290
1326 W Highway 92
Ste J
Bisbee, AZ 85603
Phone (520) 366-3603
2028 N Trekell Rd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-3010
1667 N Trekell Rd
Ste 101
Casa Grande, AZ 85122
Phone (520) 284-5436
556 S Arizona Blvd
Coolidge, AZ 85128
Phone (520) 723-7405
1930 E 11th St
Douglas, AZ 85607
Phone (520) 364-4508
1940 E 11th St
Douglas, AZ 85607
Phone (520) 364-4001
107 E 4th St
Eloy, AZ 85131
Phone (480) 247-7619
32 Boulevard del Rey David
Nogales, AZ 85621
Phone (520) 281-9189
275 N Grand Court Plz
Nogales, AZ 85621
Phone (520) 287-0015
272 W View Point Dr
Nogales, AZ 85621
Phone (520) 281-0678
1846 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 329-2699
1516 S Ocotillo Ave
Parker, AZ 85344
Phone (928) 669-5319
1515 E Osborn Rd
Phoenix, AZ 85014
Phone (602) 604-0000
301 E 4th St
Ste A
Safford, AZ 85546
Phone (928) 792-4242
2039 E Wilcox Dr
Ste A
Sierra Vista, AZ 85635
Phone (520) 226-9002
2273 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 226-0560
5055 E Broadway Blvd
Ste B100
Tucson, AZ 85711
Phone (520) 901-4676
5055 E Broadway Blvd
Ste A200
Tucson, AZ 85711
Phone (520) 901-4701
1021 E Palmdale St
Ste 130
Tucson, AZ 85714
Phone (520) 407-5353
1021 E Palmdale St
Ste 150190
Tucson, AZ 85714
Phone (520) 333-4320
2502 N Dodge Blvd
Ste 100
Tucson, AZ 85716
Phone (520) 901-4701
1773 W Saint Marys Rd
Ste 105
Tucson, AZ 85745
Phone (520) 622-8357
5055 E Broadway Blvd
Ste C104
Tucson, AZ 85711
Phone (520) 623-9833
1773 W Saint Marys Rd
Ste 102
Tucson, AZ 85745
Phone (520) 622-8357
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- charles.kohnken.d1.p1@direct.cpi.nextgenshare.com
Organizations & group practices 24
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hillsboro, OR
- NPI 1952860066
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1669897385
-
- Multi-Specialty Clinic/Center
- Eloy, AZ
- NPI 1235271404
-
- Community/Behavioral Health Agency
- Bisbee, AZ
- NPI 1518250620
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Nurse Practitioner
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1083846661
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1609245273
-
- Internal Medicine Physician
- Temple Terrace, FL
- NPI 1710315775
Nurse Practitioner
-
- Community/Behavioral Health Agency
- Parker, AZ
- NPI 1144961152
-
- Community/Behavioral Health Agency
- Yuma, AZ
- NPI 1639287667
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1558020503
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1346620358
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bisbee, AZ
- NPI 1518968767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1306399027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CALLISTA CAY LOOP",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346890002",
"telephone_number": "727-810-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 SE WASHINGTON ST",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234142",
"telephone_number": "503-755-6703",
"fax_number": "503-755-6704"
}
],
"practiceLocations": [
{
"address_1": "1951 NW 7th Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361112",
"country_code": "US",
"telephone_number": "813-924-6468",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13067 N Telecom Pkwy",
"address_purpose": "LOCATION",
"city": "Temple Terrace",
"state": "FL",
"postal_code": "336370926",
"country_code": "US",
"telephone_number": "813-779-6303",
"fax_number": "888-977-1998",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "395 SW Bluff Dr Ste 10",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977021670",
"country_code": "US",
"telephone_number": "503-755-6703",
"fax_number": "503-755-6704",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2273 E Wilcox Dr",
"address_purpose": "LOCATION",
"city": "Sierra Vista",
"state": "AZ",
"postal_code": "856352755",
"country_code": "US",
"telephone_number": "520-226-0560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHNKEN",
"first_name": "CHARLES",
"middle_name": "CHRISTIAN",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-28",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP11291",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN 9331526",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9331526",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "10035421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.