BONNIE LOUISE KULTGEN ARNP
NPI 1417967548
Nurse Practitioner in Yakima, WA

Q: What is Bonnie Kultgen's NPI number?

The NPI number for Bonnie Kultgen is 1417967548. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Bonnie Kultgen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Bonnie Kultgen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 09, 2006PECOS EnrolledAccepts Medicare Assignment

611 N 39TH AVE, YAKIMA, WA 98902(509) 249-1288(509) 249-6249 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Bonnie Louise Kultgen Arnp NPPES

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

BONNIE LOUISE KULTGEN ARNP (NPI 1417967548) is an individual nurse practitioner in Yakima, Washington, licensed in Washington (RN00045276) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1417967548

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameBONNIE LOUISE KULTGENCredential: ARNP

Location Address611 N 39TH AVEYakima, WA 98902-6348

Mailing Address611 N 39th AveYakima, WA 98902 · (509) 249-1288 · Fax (509) 249-6249

Phone(509) 249-1288

Fax(509) 249-6249

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateAugust 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417967548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in WA · RN00045276✔ Licensed in WA · AP30002552

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

611 N 39TH AVE, Yakima, WA 98902

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINQ56402

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

Bonnie Louise Kultgen Arnp 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 ID9436176021

PECOS Enrollment IDI20051102000442

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.

Hospital Affiliations CMS Care Compare

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

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500036

Location2811 Tieton DriveYakima, WA 98902 · Yakima County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98902 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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers30 claims57 services$6.12 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$776.13 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier17 claims17 services$5.18 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier70 claims70 services$81.88 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier29 claims31 services$32.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers13 claims1,200 services$0.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. RAYLEE SUSAN WEAVER-JENSEN PA-C

Physician Assistant