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

Map and Direction




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

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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