OHTAE KWON PMHNP
NPI 1770187627
Nurse Practitioner - Psychiatric/Mental Health in Tacoma, WA
About Ohtae Kwon Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OHTAE KWON PMHNP (NPI 1770187627) is an individual psychiatric/mental health provider in Tacoma, Washington, licensed in Washington (AP61146832) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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
Ohtae Kwon Pmhnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Ohtae Kwon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vancouver, WA 98662
- Reassigned Medicare billing, Washington enrollment
- 225 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UNIVERSITY PLACE, WA 98467
TACOMA, WA 98467
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ohtae Kwon's NPI number?
The NPI number for Ohtae Kwon is 1770187627. It was assigned to this individual provider in the NPPES registry on November 22, 2020.
Where is Ohtae Kwon located?
Ohtae Kwon practices at 5909 Orchard St W, Tacoma, WA 98467. The listed phone number is (253) 475-6021.
What is Ohtae Kwon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ohtae Kwon enrolled in Medicare?
Yes. Ohtae Kwon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ohtae Kwon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ohtae Kwon reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ohtae Kwon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ohtae Kwon accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Ohtae Kwon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ohtae Kwon was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Ohtae Kwon, PMHNP · NPI 1770187627
Psychiatric/Mental Health physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since November 22, 2020.
## Identity
- **NPI:** 1770187627 (Entity type: Individual)
- **Enumerated:** November 22, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP61146832 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5909 ORCHARD ST W, Tacoma, WA 98467-3824
- **Phone:** (253) 475-6021
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Western Psychological And Counseling Services LLC (NPI 1629345731, Vancouver, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770187627) · Data from the CMS NPPES public registry.