DR. MIN KWON DNP, PMHNP-BC
NPI 1386113926
Nurse Practitioner - Psychiatric/Mental Health in Bullhead City, AZ

Q: What is Min Kwon's NPI number?

The NPI number for Min Kwon is 1386113926. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Q: What is Min Kwon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Min Kwon was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 13, 2018PECOS EnrolledAccepts Medicare Assignment

1145 MARINA BLVD, BULLHEAD CITY, AZ 86442(928) 758-5905(928) 758-8790 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 8, 2022, Nov 27, 2019, Nov 13, 2018 (3 updates tracked since 2018).

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About Dr. Min Kwon Dnp, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIN KWON DNP, PMHNP-BC (NPI 1386113926) is an individual psychiatric/mental health provider in Bullhead City, Arizona, licensed in Arizona (218621) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bullhead City, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1386113926

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. MIN KWONCredential: DNP, PMHNP-BC

Location Address1145 MARINA BLVDBullhead City, AZ 86442-5716

Mailing Address3707 N Stockton Hill Rd Ste BKingman, AZ 86409-0507 · (928) 757-8111 · Fax (928) 757-3256

Phone(928) 758-5905

Fax(928) 758-8790

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 13, 2018

Last NPPES UpdateMarch 8, 20223 updates tracked since enumeration

NPPES CertifiedMarch 8, 2022

✔ NPI 1386113926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 218621

1145 MARINA BLVD, Bullhead City, AZ 86442

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Secondary Practice Location 1

Location 12580 Hway 95 Ste 209Bullhead City, AZ 86442-7330 · Phone (928) 758-5905 · Fax (928) 758-1458

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Min Kwon Dnp, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688911225

PECOS Enrollment IDI20190121001539

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Min Kwon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mohave Mental Health Clinic Inc

Same address

Clinic/Center

1145 MARINA BLVD
Bullhead City, AZ 86442

Reassigned Medicare billing, Arizona enrollment
17 clinicians in this Medicare group

NPI 1790861243 (928) 758-5905

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86442 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RHONDA ALSOBROOK PSYD, LASAC

Counselor (Addiction (Substance Use Disorder))