MR. JACK LOGAN KEITH JR. PMHNP
NPI 1982968210
Nurse Practitioner - Psychiatric/Mental Health in Olympia, WA
About Mr. Jack Logan Keith Jr. Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACK LOGAN KEITH JR. PMHNP (NPI 1982968210) is an individual psychiatric/mental health provider in Olympia, Washington, licensed in Washington (AP61193548) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Jack Logan Keith Jr. Pmhnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98506 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 20
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 Jack Keith's NPI number?
The NPI number for Jack Keith is 1982968210. It was assigned to this individual provider in the NPPES registry on July 2, 2012.
Where is Jack Keith located?
Jack Keith practices at 3857 Martin Way E, Olympia, WA 98506. The listed phone number is (253) 581-7020.
What is Jack Keith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jack Keith enrolled in Medicare?
Yes. Jack Keith 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.
What insurance does Jack Keith accept?
Health plans from Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jack Keith 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 Jack Keith was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Jack Logan Keith Jr., PMHNP · NPI 1982968210
Psychiatric/Mental Health physician in Olympia, Washington. Individual provider, active in the CMS NPPES registry since July 2, 2012.
## Identity
- **NPI:** 1982968210 (Entity type: Individual)
- **Enumerated:** July 2, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP61193548 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 3857 MARTIN WAY E, Olympia, WA 98506
- **Phone:** (253) 581-7020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1982968210) · Data from the CMS NPPES public registry.