SHEILA D SMITH MD
Accepted Insurance for NPI 1487859708
Psychiatry & Neurology - Neurology in Seattle, WA

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment
515 MINOR AVE, SUITE 210, SEATTLE, WA 98104(206) 386-9500(206) 386-9605 Get Directions

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Does Dr. Smith take my insurance?

Ambetter Health includes Dr. Smith in 9 Washington plans sold on Washington Healthplanfinder for 2026. Insurers also list Dr. Smith in Alaska, Montana and Oregon.

Call before you book: insurer directories can be out of date, so call the office at (206) 386-9500 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed. The NPPES record lists a Washington Medicaid ID; ask the office which Medicaid plans it takes.

57 plans · 87 plan IDs · 2026 plan year

Washington plans 9 plans

Plans sold to Washington residents. Costs are for the standard version of each plan.

Ambetter Health

9 plans · HMO
Accepting new patients
CCCWA Exchange network · 5 plans · Preferred tier
Ambetter Cascade Complete GoldHMOGold$1,00061836WA0050018
Ambetter Secure Care 5HMOGold$1,45061836WA0050008
Ambetter Cascade Vital GoldHMOGold$1,90061836WA0050022
Ambetter Cascade SilverHMOSilver$2,50061836WA0050017
Ambetter Balanced Care 4HMOSilver$8,20061836WA0050007
Cascade Complete Care network · 4 plans · Preferred tier
Ambetter Cascade Select Complete GoldHMOGold$1,00061836WA0050038
Ambetter Cascade Select Vital GoldHMOGold$1,90061836WA0050016
Ambetter Cascade Select SilverHMOSilver$2,50061836WA0050037
Ambetter Cascade Select BronzeHMOExpanded Bronze$6,00061836WA0050036

Also listed in other states 48 plans · 78 plan IDs · 3 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Mountain Health CO-OP · Montana

24 plans · PPO · small business (SHOP)
Not accepting new patientsDeductible $1,500 to $10,600
Connect Care - Ind network · 7 plans · Preferred tier
Peak PPO GoldPPOGold$1,50032225MT0090001
Peak PPO Gold StandardPPOGold$2,00032225MT0090010
Peak PPO Silver StandardPPOSilver$6,00032225MT0090011
Peak PPO SilverPPOSilver$8,00032225MT0090005
Peak PPO Bronze StandardPPOExpanded Bronze$7,50032225MT0090012
Peak PPO Bronze HDHPPPOExpanded Bronze$8,40032225MT0090004
Peak PPO CatastrophicPPOCatastrophic$10,60032225MT0090006
Access - SG network · 6 plans · Preferred tier
PEAK PPO GOLDPPOGold$1,50032225MT0140001
PEAK PPO GOLD HDHPPPOGold$4,00032225MT0140006
PEAK PPO SILVER HDHPPPOSilver$5,80032225MT0140005
PEAK PPO SILVERPPOSilver$7,00032225MT0140002
PEAK PPO BRONZE HDHPPPOExpanded Bronze$8,40032225MT0140004
PEAK PPO BRONZEPPOExpanded Bronze$9,00032225MT0140003
Plus - SG network · 6 plans · Tier Two tier
Plus GoldPPOGold$1,50032225MT0070004
Plus Gold HDHPPPOGold$4,00032225MT0070012
Plus Silver HDHPPPOSilver$5,80032225MT0070011
Plus SilverPPOSilver$7,00032225MT0070005
Plus Bronze HDHPPPOExpanded Bronze$8,40032225MT0070010
Plus BronzePPOExpanded Bronze$9,00032225MT0070006
Plus - Ind network · 5 plans · Tier Two tier
Plus GoldPPOGold$1,50032225MT0060004
Plus Gold StandardPPOGold$2,00032225MT0060008
Plus Silver StandardPPOSilver$6,00032225MT0060009
Plus Bronze StandardPPOExpanded Bronze$7,50032225MT0060010
Plus BronzePPOExpanded Bronze$9,00032225MT0060006

Blue Cross and Blue Shield of Montana · Montana

10 plans · PPO
Accepting new patientsDeductible $1,400 to $10,600
Blue Preferred Gold PPO℠ 901PPOGold$1,40030751MT0550102
Blue Preferred Gold PPO℠ 204PPOGold$1,50030751MT0550038
Blue Preferred Gold PPO℠ StandardPPOGold$2,00030751MT0550086
Blue Preferred Silver PPO℠ 203PPOSilver$2,00030751MT0550039
Blue Preferred Silver PPO℠ StandardPPOSilver$6,00030751MT0550087
Blue Preferred Silver PPO℠ 308PPOSilver$7,25030751MT0550061
Blue Preferred Bronze PPO℠ 202PPOExpanded Bronze$4,40030751MT0550041
Blue Preferred Bronze PPO℠ 201PPOExpanded Bronze$6,00030751MT0550040
Blue Preferred Bronze PPO℠ StandardPPOExpanded Bronze$7,50030751MT0550092
Blue Preferred Security PPO℠ 200PPOCatastrophic$10,60030751MT0550042

Premera Blue Cross Blue Shield of Alaska · Alaska

10 plans · PPO
Accepting new patientsDeductible $1,500 to $7,500
Legacy and Dental Select network · 8 plans · Legacyanddentalselect tier
Premera Blue Cross Alaska One GoldPPOGold$1,50038344AK1080001
Premera Blue Cross Preferred Gold 1500PPOGold$1,50038344AK1060001
Premera Blue Cross Standard GoldPPOGold$2,00038344AK1100001
Premera Blue Cross Preferred Silver 4500PPOSilver$4,50038344AK1060002
Premera Blue Cross Standard SilverPPOSilver$6,00038344AK1100002
Premera Blue Cross Preferred Bronze 5800 HSAPPOExpanded Bronze$5,80038344AK1070002
Premera Blue Cross Preferred Bronze 6350PPOExpanded Bronze$6,35038344AK1060004
Premera Blue Cross Standard Bronze IIPPOExpanded Bronze$7,50038344AK1100004
Dental Select network · 2 plans · Dentalselect tier
Premera Blue Cross Family DentalPPOHighNot listed38344AK1110001
Premera Blue Cross Pediatric DentalPPOHighNot listed38344AK1120001

Providence Health Plan · Oregon

4 plans · EPO
Not accepting new patientsDeductible $1,800 to $9,200
Providence Oregon Standard Gold Plan - Signature NetworkEPOGold$1,80056707OR1350004
Providence Oregon Standard Silver Plan - Signature NetworkEPOSilver$6,10056707OR1360004
HSA-E Qualified 7500 Bronze - Signature NetworkEPOExpanded Bronze$7,50056707OR1430003
Providence Oregon Standard Bronze Plan - Signature NetworkEPOExpanded Bronze$9,20056707OR1410003

Questions about Dr. Smith’s insurance

Does Dr. Smith take Ambetter Health?

For Washington Marketplace plans, yes: Ambetter Health includes Dr. Smith in 9 plans for 2026. Call the office at (206) 386-9500 to confirm your plan before booking.

Do I need a referral to see Dr. Smith?

Not under the Washington plans that list Dr. Smith: the 2026 plan files say a specialist referral is not required.

Does Dr. Smith accept Medicare?

Yes. CMS files show Dr. Smith accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.Mountain Health CO-OP: Oct 15, 2026
Providence Health Plan: Oct 15, 2026
Ambetter Health: Oct 14, 2026
Blue Cross and Blue Shield of Montana: Oct 13, 2026
Premera Blue Cross Blue Shield of Alaska: Oct 12, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2026
CMS state-based exchange public use filesPlan details for states that run their own exchange, here Washington. No document links.Plan year 2026, Jun 3, 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.