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

BONNIE ELIZABETH HOLLEY
NPI 1639708258
Surgery in Ellensburg, WA

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
603 S CHESTNUT ST, ELLENSBURG, WA 98926(509) 933-8693 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Jun 16, 2025, Apr 6, 2020 (3 updates tracked since 2020).

About Bonnie Elizabeth Holley NPPES

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

BONNIE ELIZABETH HOLLEY (NPI 1639708258) is an individual surgery provider in Ellensburg, Washington, licensed in Washington (MD.MD.61689660) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Kittitas Valley Community Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639708258
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameBONNIE ELIZABETH HOLLEY
Location Address603 S CHESTNUT STEllensburg, WA 98926-3875
Mailing Address603 S Chestnut StEllensburg, WA 98926-3875 · (509) 933-8693
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 6, 2020
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
NPI 1639708258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WA · MD.MD.61689660
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
603 S CHESTNUT ST, Ellensburg, WA 98926

Accepted Insurance

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 Elizabeth Holley 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 ID941624241
PECOS Enrollment IDI20250714002928
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.

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501333
Location603 South ChestnutEllensburg, WA 98926 · Kittitas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98926 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
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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 20

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

Specialist
603 S CHESTNUT ST
ELLENSBURG, WA 98926
Pharmacist (Ambulatory Care)
603 S CHESTNUT ST
ELLENSBURG, WA 98926
Emergency Medicine
603 S CHESTNUT ST
ELLENSBURG, WA 98926
Nurse Anesthetist, Certified Registered
603 S CHESTNUT ST
ELLENSBURG, WA 98926
Registered Nurse (Gerontology)
603 S CHESTNUT ST
ELLENSBURG, WA 98926
Internal Medicine (Clinical Cardiac Electrophysiology)
603 S CHESTNUT ST
ELLENSBURG, WA 98926
Family Medicine
603 S CHESTNUT ST
ELLENSBURG, WA 98926
Physician Assistant (Surgical)
603 S CHESTNUT ST
ELLENSBURG, WA 98926

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 Bonnie Holley's NPI number?

The NPI number for Bonnie Holley is 1639708258. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Bonnie Holley located?

Bonnie Holley practices at 603 S Chestnut St, Ellensburg, WA 98926. The listed phone number is (509) 933-8693.

What is Bonnie Holley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Bonnie Holley enrolled in Medicare?

Yes. Bonnie Holley 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.

What insurance does Bonnie Holley accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Bonnie Holley 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.

Is Bonnie Holley affiliated with any hospitals?

According to CMS data, Bonnie Holley is affiliated with Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Bonnie Holley was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.