NPIMap

Individual provider Active NPI

Naomi Koenig, APRN,FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sandstone, MN
National Provider Identifier
1659893170
Registry record updated Jan 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5333 Issued in MN
Practice address
501 Main Street
Sandstone, MN 55072
Phone
(320) 372-2323
NPI assigned
Jul 17, 2017
Last updated
Jan 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5333 MN Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170928000215 MN Practitioner - Nurse Practitioner 5193099240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 5597146852, 8 clinicians

Practice addresses (Care Compare)

501 Main St
Sandstone, MN 55072-4410
Phone (320) 372-2323

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5333MNMDChiropractor
F07170428MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Selah Wellness Clinic LLC CurrentSince Jul 1, 2022 Accepting new patients
Selah Wellness Center LLC CurrentSince Feb 25, 2025 Accepting new patients
Selah Wellness Clinic LLC Psychiatric/Mental Health CurrentSince Jun 22, 2022 Accepting new patients
True Grace Clinic LTD CurrentSince Jan 3, 2023 Accepting new patients
Selah Wellness Clinic LLC Past Accepting new patients
Selah Wellness Clinic LLC Psychiatric/Mental Health 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
Pine City, MN 55063
Phone (320) 372-2312

1300 Northridge Ct NW
Ste 2
Pine City, MN 55063
Phone (320) 372-2312

263 W 4th St
Rush City, MN 55069
Phone (320) 358-3441

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26347/brand/1/csg/1/fhir/r4
  • Direct secure messaging: naomi.koenig.1@26347.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767484800000",
    "number": "1659893170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550720516",
            "telephone_number": "320-372-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN STREET",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "55072",
            "telephone_number": "320-372-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "APRN,FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "5333",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "F07170428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandstone, MN

Sources for this page

Verify at the official NPI Registry.