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MIKELE CHRISTINE RUMBAUGH DDS
NPI 1093563991
Dentist in Othello, WA

Active since May 07, 2024PECOS Enrolled
1515 E COLUMBIA ST, OTHELLO, WA 99344(509) 488-5256(509) 488-9939 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2025, May 7, 2024 (2 updates tracked since 2024).

About Mikele Christine Rumbaugh Dds NPPES

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

MIKELE CHRISTINE RUMBAUGH DDS (NPI 1093563991) is an individual dentist in Othello, Washington, licensed in Washington (DE61675552) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1093563991
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMIKELE CHRISTINE RUMBAUGHCredential: DDS
Location Address1515 E COLUMBIA STOthello, WA 99344-1846
Mailing Address50 N Medical DrSalt Lake City, UT 84132-0001
Phone(509) 488-5256
Fax(509) 488-9939
Sole ProprietorNo
Enumeration DateMay 7, 2024
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1093563991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE61675552
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1515 E COLUMBIA ST, Othello, WA 99344
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Secondary Practice Location 1

Location 150 N Medical DrSalt Lake City, UT 84132-0001 · Phone (801) 587-6453

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikele Christine Rumbaugh Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mikele Rumbaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Columbia Basin Health Association
0.9 mi
Federally Qualified Health Center (FQHC)
1515 E COLUMBIA ST
Othello, WA 99344
  • Reassigned Medicare billing, Washington enrollment
  • 76 clinicians in this Medicare group
NPI 1619915006 (509) 488-5256

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99344 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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.

LAURA ELY
Nurse Practitioner (Family)
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
HEERA GOVINDARAJAN VENGUIDESVARANE DDS
Dentist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
MIKAYLA E ALONZO RDH
Dental Hygienist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
COLUMBIA BASIN HEALTH ASSOCIATION
Clinic/Center (Federally Qualified Health Center (FQHC))
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
DR. JI HYUNG CHOI D.D.S.
Dentist (General Practice)
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
STEVEN PITCHER DDS
Dentist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
SAMANTHA JO ESLINGER
Dental Hygienist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
MICHELLE MARTINEZ
Nurse Practitioner (Psychiatric/Mental Health)
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256

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 Mikele Rumbaugh's NPI number?

The NPI number for Mikele Rumbaugh is 1093563991. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Mikele Rumbaugh located?

Mikele Rumbaugh practices at 1515 E Columbia St, Othello, WA 99344. The listed phone number is (509) 488-5256.

What is Mikele Rumbaugh's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mikele Rumbaugh enrolled in Medicare?

Yes. Mikele Rumbaugh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mikele Rumbaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mikele Rumbaugh reassigns Medicare benefits to Columbia Basin Health Association (Othello, WA). The 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 Mikele Rumbaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mikele Rumbaugh accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Mikele Rumbaugh 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 Mikele Rumbaugh was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.