Individual provider Active NPI

Jeanne Fischer McKee, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Longview, WA
National Provider Identifier
1295167393
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP 60399124 Issued in WA
Practice address
831 12TH Ave
Longview, WA 98632-2403
Phone
(360) 998-2349
Fax
(360) 998-2887
NPI assigned
Jul 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP 60399124 WA Primary

Addresses

Primary practice location

831 12TH Ave
Longview, WA 98632-2403

Mailing address

1057 12TH Ave
Longview, WA 98632-2509
Phone (360) 261-7848

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
I20140306001225 WA Practitioner - Nurse Practitioner 7012147309 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP 60399124WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cowlitz Family Health Center CurrentSince Jul 22, 2024 Accepting new patients
Cowlitz Family Health Center Current Accepting new patients
Associates for Psychiatric & Mental Health, LLC PastSince Jul 1, 2021 Accepting new patients

Locations

1057 12th Ave
Longview, WA 98632
Phone (360) 636-3892

831 12th Ave
Longview, WA 98632
Phone (360) 575-9155

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1295167393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 12TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322509",
            "telephone_number": "360-261-7848",
            "fax_number": "360-232-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 12TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322403",
            "telephone_number": "360-998-2349",
            "fax_number": "360-998-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER MCKEE",
        "first_name": "JEANNE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP 60399124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.