FONABEI AYONGABA
NPI 1104532944
Nurse Practitioner - Psychiatric/Mental Health in Lacey, WA
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Fonabei Ayongaba reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lacey, WA 98503
- Reassigned Medicare billing, Washington enrollment
- 24 clinicians in this Medicare group
Olympia, WA 98506
- Reassigned Medicare billing, Washington enrollment
- 76 clinicians in this Medicare group
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Washington enrollment
- 777 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LACEY, WA 98503
LACEY, WA 98503
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 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.
Where is Fonabei Ayongaba located?
Fonabei Ayongaba practices at 605 Woodland Square Loop SE, Lacey, WA 98503. The listed phone number is (844) 949-8888.
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.
Is Fonabei Ayongaba enrolled in Medicare?
Yes. Fonabei Ayongaba 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.
Which organizations bill Medicare for Fonabei Ayongaba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fonabei Ayongaba reassigns Medicare benefits to 3 organizations: Vest Thurston LLC (Lacey, WA), Telecare Mental Health Services Of Washington, Inc. (Olympia, WA) and Mindful Therapy Group PC (Mountlake Terrace, WA). Each 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 Fonabei Ayongaba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fonabei Ayongaba accept?
Health plans from Ambetter Health, BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Fonabei Ayongaba 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 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 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.
# Fonabei Ayongaba · NPI 1104532944
Psychiatric/Mental Health physician in Lacey, Washington. Individual provider, active in the CMS NPPES registry since January 25, 2023.
## Identity
- **NPI:** 1104532944 (Entity type: Individual)
- **Enumerated:** January 25, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP61475276 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 605 WOODLAND SQUARE LOOP SE, Lacey, WA 98503-1045
- **Phone:** (844) 949-8888
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Vest Thurston LLC (NPI 1336605849, Lacey, WA); Telecare Mental Health Services Of Washington, Inc. (NPI 1043828643, Olympia, WA); Mindful Therapy Group PC (NPI 1316238678, Mountlake Terrace, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104532944) · Data from the CMS NPPES public registry.