Garrett Scott Koehn, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9411020 Issued in KS

Practice address

1400 W 4TH St
Coffeyville, KS 67337-3306

Phone

(620) 688-6566

Fax

(620) 688-6577

NPI assigned

Mar 25, 2022

Last updated

Aug 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coffeyville Regional Medical Center, Inc.Group PAC ID 9032108865, shared by 4 NPIs, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Chanute, KS, CCN 178060
• Coffeyville Regional Medical Center, Inc Hospital, Coffeyville, KS, CCN 171387
• Coffeyville Regional Medical Center, Inc Nursing home, CCN 17Z387

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Coffeyville Regional Medical Center Inc

  • Anesthesiology Physician
  • Coffeyville, KS
  • NPI 1265550891
  Medicare reassignment NPD
• Coffeyville Regional Medical Center, Inc.

  • Critical Access Hospital
  • Coffeyville, KS
  • NPI 1285600379
  Medicare reassignment NPD
• Coffeyville Regional Medical Center, Inc

  • Family Medicine Physician
  • Coffeyville, KS
  • NPI 1407147903
  NPD
• Coffeyville Regional Medical Center Inc

  • Rural Health Clinic/Center
  • Coffeyville, KS
  • NPI 1053862805

  Family Medicine

  NPD (past)
• Salina Regional Health Center, Inc

  • General Acute Care Hospital
  • Salina, KS
  • NPI 1689635138
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coffeyville Regional Medical Center, Inc.

  • Critical Access Hospital
  • Coffeyville, KS
  • NPI 1285600379
  Care Compare affiliation
• Wheatland Health Services, LLC

  dba Angels Care Home Health

  • Home Health Agency
  • Chanute, KS
  • NPI 1275591760
  Care Compare affiliation

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1851041693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373306",
            "telephone_number": "620-688-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373306",
            "telephone_number": "620-688-6566",
            "fax_number": "620-688-6577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 W Myrtle St",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "KS",
            "postal_code": "673013317",
            "country_code": "US",
            "telephone_number": "620-577-4062",
            "fax_number": "620-577-4064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEHN",
        "first_name": "GARRETT",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "9411020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nalini Reddy Kakulavaram, M.D.
• Virginia King
• Cynthia Jolene Kinser, APRN, PMHNP-BC
• Jo A Kinzie, RDH
• Karen Lynn Kneedler, LPN
• Antoinette Koger
• Gayla J Kulwicki, OTA
• Madison Lawrence
• Jason B Leeds, PHARM.D.
• Christopher Collin Limes, RT(T)(R)

• Family Medicine Physician in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.