FONABEI AYONGABA
NPI 1104532944
Nurse Practitioner - Psychiatric/Mental Health in Lacey, WA

Q: What is Fonabei Ayongaba's NPI number?

The NPI number for Fonabei Ayongaba is 1104532944. It was assigned to this individual provider in the NPPES registry on January 25, 2023.

Q: What is Fonabei Ayongaba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Fonabei Ayongaba was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 25, 2023PECOS EnrolledAccepts Medicare Assignment

605 WOODLAND SQUARE LOOP SE, LACEY, WA 98503(844) 949-8888 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, Jan 25, 2023 (2 updates tracked since 2023).

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About Fonabei Ayongaba NPPES

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

FONABEI AYONGABA (NPI 1104532944) is an individual psychiatric/mental health provider in Lacey, Washington, licensed in Washington (AP61475276) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104532944

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameFONABEI AYONGABA

Location Address605 WOODLAND SQUARE LOOP SELacey, WA 98503-1045

Mailing Address325 W Gowe StKent, WA 98032-5892 · (253) 833-7444

Phone(844) 949-8888

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 25, 2023

Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration

NPPES CertifiedAugust 16, 2023

✔ NPI 1104532944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP61475276

Also ListedRegistered NurseTaxonomy 163W00000X · License RN61094794 (WA)

605 WOODLAND SQUARE LOOP SE, Lacey, WA 98503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Fonabei Ayongaba 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 ID8325497944

PECOS Enrollment IDI20231207003943

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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

296 services55 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

39 services36 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

33 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98503 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

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 12

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

ALYSSA SARAH JO CALLAHAN

Behavior Analyst