Naomi Koenig, APRN,FNP-C, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Sandstone, MN
NPI 1659893170 · NPPES record last updated Jan 4, 2026
Key facts
- NPI
- 1659893170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5333 (MN)
- Practice address
- 501 Main Street
Sandstone, MN 55072 - Phone
- (320) 372-2323
- NPI assigned
- Jul 17, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Selah Wellness Clinic LLC
Practice addresses (Care Compare)
501 Main St
Sandstone, MN 55072-4410
Phone (320) 372-2323
Hospital & facility affiliations
- Adara Home Health Inc
- Ecumen Hospice
- Essentia Health Sandstone
- Fairview Lakes Health Services
- Essentia Health Moose Lake
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- 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 |
|---|---|---|---|---|
| I20170928000215 | MN | Practitioner - Nurse Practitioner | 5193099240 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F07170428 | MN | MD | Family Nurse Practitioner |
| 5333 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Selah Wellness Center LLC | Current |
Accepting new patients | |
| Selah Wellness Clinic LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| True Grace Clinic LTD | Current |
Accepting new patients | |
| Selah Wellness Clinic LLC | Current |
Accepting new patients | |
| Selah Wellness Clinic LLC | Past | Accepting new patients | |
| Selah Wellness Clinic LLC | Past | Accepting new patients |
Locations
905 Forest Ave E
Ste 150
Mora, MN 55051
Phone (320) 679-6350
1300 Northridge Ct NW
Ste 2
Pine City, MN 55063
Phone (320) 372-2312
1300 Northridge Ct NW
Pine City, MN 55063
Phone (320) 372-2312
263 W 4th St
Rush City, MN 55069
Phone (320) 358-3441
Interoperability endpoints
- https://api.platform.athenahealth.com/26347/brand/1/csg/1/fhir/r4
- naomi.koenig.1@26347.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5333 | MN | Yes |
| Family Nurse Practitioner | 363LF0000X | F07170428 | MN |
Addresses
Primary practice location
501 Main Street
Sandstone, MN 55072
Mailing address
PO Box 516
Sandstone, MN 55072-0516
Phone (320) 372-2323
Other providers in Sandstone, MN
- Kevin Mark Johnson
- Lowell Johnson
- Luann Johnson
- KC Companies of Sandstone Inc/Sandstone Golden Horizons
- Chris A Ketchmark
- Kerry Joy Kroschel
- Shelly Anne Kuhlmann
- Patrice R Laursen
- Jeffrey Allen Lee
- Duane Leger
All providers in Sandstone, MN · Psychiatric/Mental Health Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2026. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.