Individual provider Active NPI

Chris Kos, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1548747256
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1111915 Issued in TX
Practice address
5109 NE 82ND Ave Ste 215
Vancouver, WA 98662-6841
Phone
(832) 840-1604
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 947428 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1111915 TX Primary

Addresses

Primary practice location

5109 NE 82ND Ave Ste 215
Vancouver, WA 98662-6841

Mailing address

1308 N Kalani Loop
Ridgefield, WA 98642-7312
Phone (832) 840-1604

Other practice location 1

8555 SW Apple Way
Portland, OR 97225-1774
Phone (971) 266-2862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, 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
I20230515002295 TX Practitioner - Nurse Practitioner 8628434883 Reassigns benefits to 1 organization
I20241106002080 WA Practitioner - Nurse Practitioner 8628434883 Reassigns benefits to 1 organization
I20241108001987 OR Practitioner - Nurse Practitioner 8628434883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sokyahealth Medical Group PCGroup PAC ID 9739575648, 68 clinicians

Practice addresses (Care Compare)

5109 NE 82ND Ave
Suite 215
Vancouver, WA 98662-6841
Phone (877) 840-6956

8555 SW Apple Way
Suite 320
Portland, OR 97225-1775
Phone (877) 840-6956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Magnolia Management LLC Psychiatric/Mental Health CurrentSince Feb 4, 2023 Accepting new patients
Sokyahealth Medical Group PC Psychiatric/Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Headlight Health Medical Group PLLC PastSince Mar 10, 2026 Accepting new patients
Shashita Inamdar MD Professional Corporation PastSince Oct 1, 2024 Accepting new patients

Locations

700 NE Multnomah St
Ste 870
Portland, OR 97232
Phone (503) 238-5559

8555 SW Apple Way
Ste 320
Portland, OR 97225
Phone (503) 298-4592

4201 W Parmer Ln
Ste B225
Austin, TX 78727

1904 Longmire Rd
Ste 401
Conroe, TX 77304

13145 Spring Cypress Rd
Cypress, TX 77429

22325 Gosling Rd
Spring, TX 77389

5109 NE 82nd Ave
Ste 215
Vancouver, WA 98662
Phone (832) 840-1604

Interoperability endpoints

  • Direct secure messaging: chris.kos.p1@direct.sokya.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1548747256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 N KALANI LOOP",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427312",
            "telephone_number": "832-840-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 NE 82ND AVE STE 215",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626841",
            "telephone_number": "832-840-1604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8555 SW Apple Way",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972251774",
            "country_code": "US",
            "telephone_number": "971-266-2862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOS",
        "first_name": "CHRIS",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "947428",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1111915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.