Individual provider Active NPI

Kristen Ehmke

  • Family Nurse Practitioner
  • Austin, MN
National Provider Identifier
1952298135
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13040 Issued in MN
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

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2186047OtherAMERICAN 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
13040MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Health, LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

308 4th Ave NW
Ste 4
Austin, MN 55912
Phone (507) 279-2345

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.