MRS. KEONA E SMITH NURSE PRACTITIONER
NPI 1033647144
Nurse Practitioner - Family in Mesa, AZ

Active since June 02, 2017PECOS EnrolledAccepts Medicare Assignment
6015 E BROWN RD, MESA, AZ 85205(866) 389-2727 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2025, Feb 6, 2024, Jan 11, 2022 and 6 more (9 updates tracked since 2017).

About Mrs. Keona E Smith Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KEONA E SMITH NURSE PRACTITIONER (NPI 1033647144) is an individual family provider in Mesa, Arizona, licensed in Arizona (253724) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains 9 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1033647144
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KEONA E SMITHCredential: NURSE PRACTITIONER
Location Address6015 E BROWN RDMesa, AZ 85205-4452
Mailing Address10707 W Camelback RdPhoenix, AZ 85037-5073 · (623) 872-5316
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 2, 2017
Last NPPES UpdateNovember 11, 20259 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1033647144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 253724
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2017015826 (MO), APRN-213691 (MT), APRN-4030 (HI), 10022091 (OR), 207307 (AK), 11227 (MN), 13280148-4 (UT), 209027284 (IL), 95025330 (CA), 72170 (NM)
6015 E BROWN RD, Mesa, AZ 85205

Secondary Practice Locations 9

Location 14241 Johnny Cake Ridge RdEagan, MN 55122-2235 · Phone (866) 389-2727
Location 211200 Lincoln HwyMokena, IL 60448-8208 · Phone (866) 389-2727
Location 345-480 Kaneohe Bay DrKaneohe, HI 96744-2039 · Phone (866) 389-2727
Location 49640 Menaul Blvd NEAlbuquerque, NM 87112-2217 · Phone (866) 389-2727
Location 52760 Fletcher PkwyEl Cajon, CA 92020-2110 · Phone (877) 389-2727
Location 61150 Baker StCosta Mesa, CA 92626-4111 · Phone (866) 389-2727
Location 77777 S Redwood RdWest Jordan, UT 84084-5518 · Phone (866) 389-2727
Location 819353 Victory BlvdTarzana, CA 91335-6302 · Phone (866) 389-2727
Location 910707 W Camelback RdPhoenix, AZ 85037-5073 · Phone (866) 389-2727

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Keona E Smith Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527326982
PECOS Enrollment IDI20230330002589, I20230523003402
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Keona Smith reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
4340 SAN MATEO BLVD NE
Albuquerque, NM 87110
  • Reassigned Medicare billing, New Mexico enrollment
  • 30 clinicians in this Medicare group
Family
7777 S REDWOOD RD
West Jordan, UT 84084
  • Reassigned Medicare billing, Utah enrollment
  • 31 clinicians in this Medicare group
Multi-Specialty
16555 MANCHESTER RD STE 110
Wildwood, MO 63040
  • Reassigned Medicare billing, Missouri enrollment
  • 744 clinicians in this Medicare group
Family
4241 JOHNNY CAKE RIDGE RD
Eagan, MN 55122
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Minuteclinic Diagnostic Of Minnesota PA
  • 89 clinicians in this Medicare group
Family
11200 LINCOLN HWY
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, Arizona enrollment
  • 163 clinicians in this Medicare group
Family
45-480 KANEOHE BAY DR
Kaneohe, HI 96744
  • Reassigned Medicare billing, Hawaii enrollment
  • Medicare enrollment name: Minuteclinic Diagnostic Of Hawaii, LLC
  • 71 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
6015 E BROWN RD
MESA, AZ 85205
Nurse Practitioner (Family)
6015 E BROWN RD
MESA, AZ 85205
Nurse Practitioner (Family)
6015 E BROWN RD
MESA, AZ 85205
Nurse Practitioner (Family)
6015 E BROWN RD
MESA, AZ 85205
Nurse Practitioner (Family)
6015 E BROWN RD
MESA, AZ 85205
Nurse Practitioner (Family)
6015 E BROWN RD
MESA, AZ 85205
Nurse Practitioner (Family)
6015 E BROWN RD
MESA, AZ 85205
Nurse Practitioner (Family)
6015 E BROWN RD
MESA, AZ 85205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keona Smith's NPI number?

The NPI number for Keona Smith is 1033647144. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Where is Keona Smith located?

Keona Smith practices at 6015 E Brown Rd, Mesa, AZ 85205. The listed phone number is (866) 389-2727.

What is Keona Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Keona Smith enrolled in Medicare?

Yes. Keona Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Keona Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keona Smith reassigns Medicare benefits to 7 organizations: Minuteclinic Diagnostic Of New Mexico, LLC (Albuquerque, NM), Minuteclinic Diagnostic Of Utah, LLC (West Jordan, UT), Mercy Clinic East Communities (Wildwood, MO), Minuteclinic Diagnostic Of Minnesota, P.A. (Eagan, MN), Minuteclinic Video Virtual Care North, LLC (Mokena, IL) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keona Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keona Smith accept?

Health plans from HMSA list Keona Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keona Smith was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.