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ANNE MARIE FOMBU
NPI 1245828383
Nurse Practitioner - Family in Bellevue, WA

Active since January 05, 2021PECOS Enrolled
15015 MAIN ST, SUITE #109, BELLEVUE, WA 98007(509) 824-6978(509) 824-6961 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 26, 2025, May 8, 2024, Aug 9, 2021 and 1 more (4 updates tracked since 2021).

About Anne Marie Fombu NPPES

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

ANNE MARIE FOMBU (NPI 1245828383) is an individual family provider in Bellevue, Washington, licensed in Washington (AP61138151) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Renton.

NPPES Registry Identity

NPI1245828383
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNE MARIE FOMBU
Location Address15015 MAIN ST, SUITE #109Bellevue, WA 98007
Mailing Address15015 Main St Suite 109Bellevue, WA 98007 · (206) 575-0300
Phone(509) 824-6978
Fax(509) 824-6961
Sole ProprietorYes
Enumeration DateJanuary 5, 2021
Last NPPES UpdateFebruary 26, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1245828383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP61138151
Also ListedRegistered NurseTaxonomy 163W00000X · License RN60860845 (WA)
15015 MAIN ST, Bellevue, WA 98007
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Other Names 1

Other Name (5)Dr. Mary Anne Fombu Np

Secondary Practice Location 1

Location 11215 N Landing WayRenton, WA 98057-5521 · Phone (240) 477-2722

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anne Marie Fombu 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 98007 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 6

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

HELEN M SHAUDYS LMP
Massage Therapist
15015 MAIN ST, SUITE 106
BELLEVUE, WA 98007
King County (808) 990-0855
DEBORAH JANE MACHIN LMP
Massage Therapist
15015 MAIN ST, #106
BELLEVUE, WA 98007
King County (425) 643-4454
DR. HYE-JIN KIM DDS
Dentist (General Practice)
15015 MAIN ST, STE 105
BELLEVUE, WA 98007
King County (425) 605-3575
DR. JEREMY JOHN WELCH D.C.
Chiropractor
15015 MAIN ST, SUITE 106
BELLEVUE, WA 98007
King County (425) 643-4454
NATHALIE HOVATTA M.ED.; LMHC
Counselor (Mental Health)
15015 MAIN ST
BELLEVUE, WA 98007
King County (425) 800-6187
PURE CHIROPRACTIC 1 PLLC
Chiropractor
15015 MAIN ST, SUITE 106
BELLEVUE, WA 98007
King County (425) 643-4454

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 Anne Marie Fombu's NPI number?

The NPI number for Anne Marie Fombu is 1245828383. It was assigned to this individual provider in the NPPES registry on January 5, 2021. The provider is also known as Dr. Mary Anne Fombu Np.

Where is Anne Marie Fombu located?

Anne Marie Fombu practices at 15015 Main St Suite #109, Bellevue, WA 98007. The listed phone number is (509) 824-6978.

What is Anne Marie Fombu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anne Marie Fombu enrolled in Medicare?

Yes. Anne Marie Fombu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anne Marie Fombu was last updated on February 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.