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 EnrolledAccepts Medicare Assignment

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

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2026, Sep 25, 2026, Apr 1, 2024 (3 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, is affiliated with St Charles Medical Center - Bend, and is a graduate of Other (2023).

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

Medical School CMSOtherGraduated 2023

Enumeration DateApril 1, 2024

Last NPPES UpdateOctober 2, 20263 updates tracked since enumeration

NPPES CertifiedOctober 2, 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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 and accepts Medicare assignment

Alexandria Gientke Agnp 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 ID7214474931

PECOS Enrollment IDI20240731000346

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 Reassignments

Medicare enrollment records show Alexandria Gientke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pine Springs Health LLC

Same address

Primary Care

711 NE IRVING AVE
Bend, OR 97701

Reassigned Medicare billing, Oregon enrollment
3 clinicians in this Medicare group

NPI 1013697994 (541) 330-9110

Deschutes Family Care, LLC

0.8 mi

Primary Care

1345 NW WALL ST, SUITE 302
Bend, OR 97703

Reassigned Medicare billing, Oregon enrollment
2 clinicians in this Medicare group

NPI 1740654086 (541) 323-3960

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380047

Location2500 NE Neff RoadBend, OR 97701 · Deschutes County

Emergency services Birthing friendly

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)