Individual provider Active NPI

Charles Christian Kohnken, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hillsboro, OR
National Provider Identifier
1306399027
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10035421 Issued in OR
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

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170927000150 FL Practitioner - Nurse Practitioner 2961799192 Reassigns benefits to 2 organizations
I20180903000080 AZ Practitioner - Nurse Practitioner 2961799192 Reassigns benefits to 5 organizations
I20241227000261 OR Practitioner - Nurse Practitioner 2961799192 Reassigns benefits to 1 organization

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
Pinal Hispanic CouncilGroup PAC ID 4981742434, 9 clinicians
McArthur Gruff and Associates LLCGroup PAC ID 9032537329, 17 clinicians

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

LicenseStateTypeSpecialty
APRN9331526FLMDNurse Practitioner
APRN 9331526FLMDPsychiatric/Mental Health Nurse Practitioner
10035421ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Intervention Associates CurrentSince Jul 10, 2018 Accepting new patients
Community Partners Integrated Healthcare, Inc. Current Accepting new patients
Community Partners Integrated Healthcare, Inc. Current Accepting new patients
Community Partners Integrated Healthcare Inc. CurrentSince Sep 22, 2024 Accepting new patients
Intermountain Health Center Inc Current Accepting new patients
Hni Medical Services of Florida, LLC Nurse Practitioner CurrentSince Nov 10, 2019 Accepting new patients
Pinal Hispanic Council Incorporated CurrentSince Sep 22, 2024 Accepting new patients
Intermountain Centers for Human Development Inc. CurrentSince Sep 22, 2024 Accepting new patients
Pioneer Medical Group, PL Nurse Practitioner CurrentSince May 9, 2018 Accepting new patients
McArthur Gruff & Associates LLC Psychiatric/Mental Health CurrentSince Dec 5, 2024 Accepting new patients
Community Partners Integrated Healthcare, Inc. Current Accepting new patients
Community Partners Integrated Healthcare, Inc. CurrentSince Sep 22, 2024 Accepting new patients
Pinal Hispanic Council Current Accepting new patients
Community Intervention Assciates, Inc CurrentSince Jul 10, 2018 Accepting new patients
Community Intervention Associates, Inc. Current Accepting new patients
Intermountain Centers for Human Development Inc. Current Accepting new patients
Intermountain Health Center, Inc. CurrentSince Sep 22, 2024 Accepting new patients
Rio Salado Behavioral Health Systems, Inc. PastSince Jun 4, 2018 Accepting new patients
Mental Health Resources Inc PastSince May 14, 2023 Accepting new patients
Behavioral Consultation Services, Inc. Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients
Mental Health Resources Inc Past Accepting new patients
Community Intervention Associates, Inc Past Accepting new patients
Alan D. Feldman, M.D.P.a. Past Accepting new patients

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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

View all 24

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.