Active NPI
Kristen Ehmke
- Family Nurse Practitioner
- Austin, MN
National Provider Identifier
1952298135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13040
- Practice address
- 308 4TH Ave NW Ste 4
Austin, MN 55912-3085 - Phone
- (507) 279-2345
- NPI assigned
- Jun 20, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13040 | MN | Primary |
Addresses
Primary practice location
308 4TH Ave NW Ste 4
Austin, MN 55912-3085
Mailing address
308 4TH Ave NW Ste 4
Austin, MN 55912-3085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2186047 | Other | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 11, 2026 through Feb 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13040 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spark Health, LLC | Current | Accepting new patients |
Locations
308 4th Ave NW
Ste 4
Austin, MN 55912
Phone (507) 279-2345
Interoperability endpoints
- kristen.ehmke@533814900228100.direct.elationemr.com
Organizations & group practices 1
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.
-
- Clinic/Center
- Austin, MN
- NPI 1821758277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1952298135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 4TH AVE NW STE 4",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559123085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 4TH AVE NW STE 4",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559123085",
"telephone_number": "507-279-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHMKE",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-20",
"last_updated": "2025-07-08",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "13040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ASSOCIATION OF NURSE PRACTITIONERS",
"identifier": "2186047",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.