KEESHA EWERS ARNP
NPI 1083769772
Nurse Practitioner - Family in Issaquah, WA
About Keesha Ewers Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEESHA EWERS ARNP (NPI 1083769772) is an individual family provider in Issaquah, Washington, licensed in Washington (AP30006769) and active in the NPI registry since January 2007. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Keesha Ewers Arnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2014 through October 1, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Keesha Ewers's NPI number?
The NPI number for Keesha Ewers is 1083769772. It was assigned to this individual provider in the NPPES registry on January 24, 2007.
Where is Keesha Ewers located?
Keesha Ewers practices at 710 5th Ave NW, Issaquah, WA 98027. The listed phone number is (425) 391-3376.
What is Keesha Ewers's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Keesha Ewers enrolled in Medicare?
No. Keesha Ewers has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Keesha Ewers was last updated on November 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.
# Keesha Ewers, ARNP · NPI 1083769772
Family physician in Issaquah, Washington. Individual provider, active in the CMS NPPES registry since January 24, 2007.
## Identity
- **NPI:** 1083769772 (Entity type: Individual)
- **Enumerated:** January 24, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP30006769 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 710 5TH AVE NW, Issaquah, WA 98027-2823
- **Phone:** (425) 391-3376
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** November 19, 2009
- **Other identifiers:** Medicare UPIN Q24358 (WA); Medicare ID-Type Unspecified 8807245 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1083769772) · Data from the CMS NPPES public registry.