Katherine Jean Kirner, ARNP

Key facts

NPI: 1407066103
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: AP30007823 (WA)
Practice address: 541 2ND Ave
Twisp, WA 98856-1069
Phone: (509) 997-2011
Fax: (509) 997-2034
NPI assigned: May 23, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 4

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.

Family Health Centers Federally Qualified Health Center (FQHC) · Okanogan, WA · NPI 1609804392

Medicare reassignment NPD WA
Family Health Centers Federally Qualified Health Center (FQHC) · Twisp, WA · NPI 1679962401

NPD
Joseph Lehigh Jensen III Rural Health Clinic/Center · Twisp, WA · NPI 1265568349

NPD (past)
Uw Counseling Center Mental Health Counselor · Seattle, WA · NPI 1801467659

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20071025000567	WA	Practitioner - Nurse Practitioner	1052408861	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
RN00161963	WA	MD	Registered Nurse
AP30007823	WA	MD	Psychiatric/Mental Health Nurse Practitioner

Practice roles

Organization	Status	New patients
Family Health Centers	Current since May 1, 2015	Accepting new patients
Family Health Centers	Current since May 1, 2015	Accepting new patients
Joseph Lehigh Jensen III	Past	Accepting new patients
Uw Counseling Center	Past	Accepting new patients

Locations

1003 Koala Dr
Omak, WA 98841
Phone (509) 422-1913

Interoperability endpoints

Direct secure messaging: katherine.kirner.1@19043.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Nurse	163W00000X	RN00161963	WA
Primary Care Nurse Practitioner	363LP2300X	AP30007823	WA
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	AP30007823	WA	Yes

Addresses

Primary practice location

541 2ND Ave
Twisp, WA 98856-1069

Mailing address

PO Box 1340
Okanogan, WA 98840-1340
Phone (509) 422-5700

Other providers in Twisp, WA

All providers in Twisp, WA · Psychiatric/Mental Health Nurse Practitioner in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.