Individual provider Active NPI

Neal David Keeshin, MD

  • Family Medicine Physician
  • Anacortes, WA
National Provider Identifier
1063494599
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61602678 Issued in WA
Practice address
912 32ND St
Anacortes, WA 98221-3473
Phone
(360) 293-4343
Fax
(360) 588-1587
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10535 NH
Family Medicine Physician 207Q00000X MD61602678 WA Primary

Addresses

Primary practice location

912 32ND St
Anacortes, WA 98221-3473

Mailing address

7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414

Other identifiers 9

IdentifierTypeStateIssuer
798923OtherNHMVP
8002134OtherVTLADIES FIRST
00019226OtherVTBCBS OF VT
30200153MedicaidNH
RE5150OtherNHNHIC
0100480OtherNHCIGNA
OVN0721MedicaidVT
0106910YPNH02OtherNHBCBS OF NH
AA61275OtherNHHPHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230928000133 TX Practitioner - Family Practice 6305869058 Reassigns benefits to 1 organization
I20241003003766 WA Practitioner - Family Practice 6305869058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Rush Medical College of Rush University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

912 32ND St
Suite a
Anacortes, WA 98221-3473
Phone (360) 466-3136

Hospital & facility affiliations

  • Signature Healthcare at Home Home health agency, Burlington, WA, CCN 507100
  • Alpha Home Health Home health agency, Everett, WA, CCN 507107
  • Island Hospital Hospital, Anacortes, WA, CCN 500007
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61602678WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jul 13, 2023 Accepting new patients
The Polyclinic PLLC Family Medicine CurrentSince Dec 28, 2025 Accepting new patients
The Polyclinic PLLC Family Medicine CurrentSince Dec 28, 2025 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Aug 26, 2024 Accepting new patients
Southeast Alaska Regional Health Constortium CurrentSince Jul 13, 2023 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Aug 26, 2024 Accepting new patients
Public Hospital District No 2 Skagit County Washington Past Accepting new patients
Optum Care Washington PLLC Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
Clearchoicemd Primary Care PLLC Family Medicine Past Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

912 32nd St
Ste A
Anacortes, WA 98221
Phone (360) 293-4343

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487

9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777

1145 Broadway
Seattle, WA 98122

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900

Interoperability endpoints

  • Direct secure messaging: nkeeshin88374@direct.tecmc.com

Organizations & group practices 12

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

Hospital & facility affiliations 4

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1063494599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036421",
            "telephone_number": "206-860-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 32ND ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213473",
            "telephone_number": "360-293-4343",
            "fax_number": "360-588-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESHIN",
        "first_name": "NEAL",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "10535",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61602678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "798923",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LADIES FIRST",
            "identifier": "8002134",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF VT",
            "identifier": "00019226",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200153",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC",
            "identifier": "RE5150",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0100480",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN0721",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NH",
            "identifier": "0106910YPNH02",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA61275",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.