Keenan Smith, PMHNP-BC - Nurse Practitioner in Bellevue, WA

Keenan Smith, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Bellevue, Washington. Keenan Smith is licensed to practice in Washington (license number AP61423786) and his current practice location is 2105 112th Ave Ne Ste 201, Bellevue, Washington. He can be reached at his office (for appointments etc.) via phone at (425) 968-5948.

NPI number for Keenan Smith is 1003519372 and his current mailing address is Po Box 1097, Birmingham, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003519372.

Contact Information

Keenan Smith, PMHNP-BC
2105 112th Ave Ne Ste 201,
Bellevue, WA 98004-2945
(425) 968-5948
Not Available



Provider's Profile

Full NameKeenan Smith
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2105 112th Ave Ne Ste 201, Bellevue, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003519372
  • Provider Enumeration Date: 03/24/2023
  • Last Update Date: 07/13/2023

Medical Identifiers

Medical identifiers for Keenan Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003519372NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 53-82167-102 (Kansas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704370314 (Michigan)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61423786 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keenan Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keenan Smith, PMHNP-BC
Po Box 1097,
Birmingham, MI 48012-1097

Ph: (248) 838-9586
Keenan Smith, PMHNP-BC
2105 112th Ave Ne Ste 201,
Bellevue, WA 98004-2945

Ph: (425) 968-5948

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› Verified 4 days ago


Nurse Practitioner Nurses in Bellevue, WA

Ms. Jessica Swenson, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1231 116th Ave Ne, Suite 950, Bellevue, WA 98004
Phone: 425-454-3366    Fax: 425-460-5954
Mrs. Kara Harrington Brennan, MSN, ARNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11522 Ne 20th St, Bellevue, WA 98004
Phone: 425-462-2531    Fax: 425-454-6176
Dr. Ambera Dedic, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1231 116th Ave Ne Ste 400, Bellevue, WA 98004
Phone: 425-289-3199    
Leslie Elaine Smith, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1600 116th Ave Ne, Suite #102, Bellevue, WA 98004
Phone: 425-454-5311    Fax: 425-454-8188
Hana K Ryan, AGPCNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11695 Ne 4th St, Bellevue, WA 98004
Phone: 425-637-1855    Fax: 425-344-7970
Thomas Chan, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15585 Ne 24th St, Bellevue, WA 98007
Phone: 888-227-3312    

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