Mrs Keona E Smith, NURSE PRACTITIONER - Medicare Nurse Practitioner in Mesa, AZ

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Mrs Keona E Smith, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" physician in Mesa, Arizona. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Video Virtual Care North, Llc, Minuteclinic Diagnostic Of New Mexico, Llc and her current practice location is 6015 E Brown Rd, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Mrs Keona E Smith is licensed to practice in Arizona (license number 253724) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033647144.

Contact Information

Mrs Keona E Smith, NURSE PRACTITIONER
6015 E Brown Rd,
Mesa, AZ 85205-4452
(866) 389-2727
Not Available

Map and Direction




Physician's Profile

Full NameMrs Keona E Smith
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location6015 E Brown Rd, Mesa, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Keona E Smith graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1033647144
  • Provider Enumeration Date: 06/02/2017
  • Last Update Date: 11/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8527326982
  • Enrollment ID: I20230523003402

Medical Identifiers

Medical identifiers for Mrs Keona E Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033647144NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2017015826 (Missouri)Secondary
207Q00000XFamily Medicine APRN-213691 (Montana)Secondary
207Q00000XFamily Medicine APRN-4030 (Hawaii)Secondary
207Q00000XFamily Medicine 10022091 (Oregon)Secondary
207Q00000XFamily Medicine 207307 (Alaska)Secondary
207Q00000XFamily Medicine 11227 (Minnesota)Secondary
207Q00000XFamily Medicine 13280148-4 (Utah)Secondary
207Q00000XFamily Medicine 209027284 (Illinois)Secondary
207Q00000XFamily Medicine 95025330 (California)Secondary
363LF0000XNurse Practitioner - Family 253724 (Arizona)Primary
207Q00000XFamily Medicine 72170 (New Mexico)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Video Virtual Care North, Llc125476229719
Minuteclinic Diagnostic Of New Mexico, Llc751728026610

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Keona E Smith allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Video Virtual Care North Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518512227
PECOS PAC ID: 1254762297
Enrollment ID: O20200620000026

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. Mrs Keona E Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Keona E Smith, NURSE PRACTITIONER
10707 W Camelback Rd,
Phoenix, AZ 85037-5073

Ph: (623) 872-5316		Mrs Keona E Smith, NURSE PRACTITIONER
6015 E Brown Rd,
Mesa, AZ 85205-4452

Ph: (866) 389-2727

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.