Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXANDRIA GIENTKE AGNP
NPI 1114779550
Family Medicine in Bend, OR

Q: What is Alexandria Gientke's NPI number?

The NPI number for Alexandria Gientke is 1114779550. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Q: What is Alexandria Gientke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 01, 2024PECOS Enrolled

711 NE IRVING AVE, BEND, OR 97701(541) 330-9110(541) 330-9112 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 25, 2026, Apr 1, 2024 (2 updates tracked since 2024).

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About Alexandria Gientke Agnp NPPES

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

ALEXANDRIA GIENTKE AGNP (NPI 1114779550) is an individual family medicine provider in Bend, Oregon, licensed in Oregon (10024114) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bend.

NPPES Registry Identity

NPI1114779550

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameALEXANDRIA GIENTKECredential: AGNP

Location Address711 NE IRVING AVEBend, OR 97701-4738

Mailing Address711 Ne Irving AveBend, OR 97701-4738 · (541) 330-9110 · Fax (541) 330-9112

Phone(541) 330-9110

Fax(541) 330-9112

Sole ProprietorYes

Enumeration DateApril 1, 2024

Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2026

✔ NPI 1114779550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · 10024114

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

711 NE IRVING AVE, Bend, OR 97701

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Secondary Practice Location 1

Location 11345 NW Wall St Ste 302Bend, OR 97703-1970 · Phone (541) 323-3960

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandria Gientke Agnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 10

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

PINE SPRINGS HEALTH LLC

Clinic/Center (Primary Care)