Individual provider Active NPI

Tiffany Koehn, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newton, KS
National Provider Identifier
1629213665
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
75458 Issued in KS
Practice address
308 W Broadway St
Newton, KS 67114-2632
Phone
(316) 248-8993
Fax
(316) 444-6407
NPI assigned
Dec 4, 2008
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 75458 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 75458 KS Primary
Registered Nurse 163W00000X 102604 KS

Addresses

Primary practice location

308 W Broadway St
Newton, KS 67114-2632

Mailing address

308 W Broadway St
Newton, KS 67114-2632
Phone (316) 248-8993

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120615000565 KS Practitioner - Nurse Practitioner 1759545080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Ministries Clinic IncGroup PAC ID 1254330244, 31 clinicians

Practice addresses (Care Compare)

126 Main St
Halstead, KS 67056-1708
Phone (316) 835-3700

1400 S Kansas Ave
Suite 1200
Newton, KS 67114-5305
Phone (316) 677-8877

720 Medical Ctr Dr
Newton, KS 67114-8778
Phone (316) 283-6103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102604KSMDRegistered Nurse
75458KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Ministries Clinic, Inc CurrentSince Jun 12, 2014 Accepting new patients
Koehn Psychiatry Current Accepting new patients
Health Ministries Clinic, Inc. CurrentSince Jun 12, 2014 Accepting new patients
Health Ministries Clinic, Inc. Past Accepting new patients

Locations

126 Main St
Halstead, KS 67056
Phone (316) 835-3700

209 S Pine St
Newton, KS 67114
Phone (316) 283-6103

215 S Pine St
Newton, KS 67114
Phone (316) 283-4400

700 Medical Center Dr
Ste 101
Newton, KS 67114
Phone (316) 283-0027

720 Medical Center Dr
Newton, KS 67114
Phone (316) 283-6103

Interoperability endpoints

  • Direct secure messaging: tiffany.koehn@khindirect.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1629213665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W BROADWAY ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671142632",
            "telephone_number": "316-248-8993",
            "fax_number": "316-444-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W BROADWAY ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671142632",
            "telephone_number": "316-248-8993",
            "fax_number": "316-444-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHN",
        "first_name": "TIFFANY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "75458",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "75458",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "102604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.