Individual provider Active NPI

Okechukwu Kene Aneke, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kirkland, WA
National Provider Identifier
1568046449
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
61189428 Issued in WA
Practice address
10200 NE 132ND St
Kirkland, WA 98034-2831
Phone
(425) 821-2000
NPI assigned
May 7, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHC Fairfax Hospital Inc 32 clinicians

Practice addresses (Care Compare)

10200 NE 132ND St
Kirkland, WA 98034-2831
Phone (425) 821-2000

Merit-based Incentive Payment System (MIPS)

Final score
83.24 of 100Reported as group
Quality
76.66
Improvement activities
40
Cost
70.27

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20211026001516 WA Practitioner - Nurse Practitioner 3173911054 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
952710TXMDPsychiatric/Mental Health Registered Nurse
61189428WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Health Center CurrentSince Dec 28, 2022 Accepting new patients
BHC Fairfax Hospital Inc. CurrentSince Jul 1, 2021 Accepting new patients
Horizon Health LLC Past Accepting new patients
Connectionswa, LLC PastSince May 6, 2024 Accepting new patients
BHC Fairfax Hospital Inc Past Accepting new patients

Locations

916 Pacific Ave
Fl 7
Everett, WA 98201
Phone (425) 303-6500

10200 NE 132nd St
Kirkland, WA 98034
Phone (425) 821-2000

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.okechukwukeneaneke@147765.advancedmd-direct.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 952710 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 61189428 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

10200 NE 132ND St
Kirkland, WA 98034-2831

Mailing address

6703 132ND PL SE
Snohomish, WA 98296-8666
Phone (832) 306-9301

Other practice location 1

7111 Mystic Morning Ln
Spring, TX 77379-1635
Phone (832) 306-9301

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2022.

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1568046449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 132ND PL SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982968666",
            "telephone_number": "832-306-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 NE 132ND ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342831",
            "telephone_number": "425-821-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7111 Mystic Morning Ln",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773791635",
            "country_code": "US",
            "telephone_number": "832-306-9301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANEKE",
        "first_name": "OKECHUKWU",
        "middle_name": "KENE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "952710",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "61189428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.