OHTAE KWON PMHNP
NPI 1770187627
Nurse Practitioner - Psychiatric/Mental Health in Tacoma, WA

Active since November 22, 2020PECOS EnrolledAccepts Medicare Assignment
5909 ORCHARD ST W, TACOMA, WA 98467(253) 475-6021 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2026, Feb 2, 2022, Mar 21, 2021 and 1 more (4 updates tracked since 2020).

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

NPI1770187627
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameOHTAE KWONCredential: PMHNP
Location Address5909 ORCHARD ST WTacoma, WA 98467-3824
Mailing Address5909 Orchard St WTacoma, WA 98467-3824 · (253) 475-6021
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 22, 2020
Last NPPES UpdateMarch 13, 20264 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
NPI 1770187627 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
Licenses Licensed in WA · AP61146832 Licensed in TX · 1018225
5909 ORCHARD ST W, Tacoma, WA 98467

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID749650133
PECOS Enrollment IDI20221229000575
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.

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.

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.
107 services30 patients

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.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 15

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

Marriage & Family Therapist
5909 ORCHARD ST W
TACOMA, WA 98467
Psychologist
5909 ORCHARD ST W
TACOMA, WA 98467
Student in an Organized Health Care Education/Training Program
5909 ORCHARD ST W
TACOMA, WA 98467
Psychologist
5909 ORCHARD ST W
TACOMA, WA 98467
Psychologist
5909 ORCHARD ST W
TACOMA, WA 98467
Psychologist (Clinical)
5909 ORCHARD ST W
TACOMA, WA 98467
Social Worker (Clinical)
5909 ORCHARD ST W
TACOMA, WA 98467
Counselor (Mental Health)
5909 ORCHARD ST W
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.

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 with the weekly NPPES data releases published by CMS.