Individual provider Active NPI

Michelle K Smeback, ARNP

  • Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1033417514
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60211810 Issued in WA
Practice address
111 S 11TH Ave
Suite 201
Yakima, WA 98902-3242
Phone
(509) 454-6545
Fax
(509) 454-6544
NPI assigned
Mar 7, 2011
Last updated
Jun 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60211810 WA Primary
Registered Nurse 163W00000X RN00068348 WA

Addresses

Primary practice location

111 S 11TH Ave
Suite 201
Yakima, WA 98902-3242

Mailing address

732 Summitview Ave # 621
Yakima, WA 98902-3032
Phone (509) 573-3448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000167 WA Practitioner - Nurse Practitioner 5496923757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

611 S Chestnut St
Suite a
Ellensburg, WA 98926-4815
Phone (509) 962-7390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.91 of 100Reported as group
Quality
66.6
Promoting interoperability
100
Improvement activities
40
Cost
69.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60211810WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kittitas County Public Hospital Dist 1 Current Accepting new patients
King County Public Hospital District No. 2 CurrentSince Feb 25, 2017 Accepting new patients
Kittitas County Public Hosp Dist 1 CurrentSince Oct 8, 2021 Accepting new patients
King County Public Hospital District No 2 CurrentSince Feb 25, 2017 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Kittitas County Public Hospital Dist 1 CurrentSince Oct 8, 2021 Accepting new patients
Peak Retina PLLC Past Accepting new patients

Locations

201 Alpha Way
Cle Elum, WA 98922
Phone (509) 674-5331

100 E Jackson Ave
Ste 105
Ellensburg, WA 98926
Phone (509) 249-3900

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

611 S Chestnut St
Ste A
Ellensburg, WA 98926
Phone (509) 933-7575

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1033417514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 SUMMITVIEW AVE # 621",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023032",
            "telephone_number": "509-573-3448",
            "fax_number": "509-574-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH AVE",
            "address_2": "SUITE 201",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023242",
            "telephone_number": "509-454-6545",
            "fax_number": "509-454-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEBACK",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60211810",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00068348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.