Individual provider Active NPI

Anna McKeone, MD

  • Emergency Medicine Physician
  • Olympia, WA
National Provider Identifier
1730355330
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD 60077187 Issued in WA
Practice address
413 Lilly Rd. NE Mail Stop Ddh09
Olympia Emergency Services, PLLC
Olympia, WA 98506
Phone
(360) 493-4554
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD 60077187 WA Primary

Addresses

Primary practice location

413 Lilly Rd. NE Mail Stop Ddh09
Olympia Emergency Services, PLLC
Olympia, WA 98506

Mailing address

413 Lilly Rd. NE Mail Stop Ddh09
Olympia Emergency Services, PLLC
Olympia, WA 98506
Phone (360) 493-4554

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090810000650 WA Practitioner - Emergency Medicine 1456405471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Washington School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympia Emergency Services PLLCGroup PAC ID 9335035633, 31 clinicians

Practice addresses (Care Compare)

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 493-4554

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.33 of 100Reported as group
Quality
87.43
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 60077187WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Emergency Services, PLLC Emergency Medicine CurrentSince Oct 23, 2011 Accepting new patients

Locations

413 Lilly Rd NE
Stop DDH9
Olympia, WA 98506
Phone (360) 493-4554

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

Organizations & group practices 1

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 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": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1730355330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 LILLY RD. NE MAIL STOP DDH09",
            "address_2": "OLYMPIA EMERGENCY SERVICES, PLLC",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-493-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 LILLY RD. NE MAIL STOP DDH09",
            "address_2": "OLYMPIA EMERGENCY SERVICES, PLLC",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-493-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEONE",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD 60077187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.