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MARY A. GUMBO ARNP
NPI 1962928861
Nurse Practitioner - Adult Health in Tumwater, WA

Active since August 22, 2017PECOS Enrolled
344 CLEVELAND AVE SE STE A, TUMWATER, WA 98501(425) 200-0654(425) 200-0646 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 25, 2024, Sep 21, 2021, Aug 22, 2017 (3 updates tracked since 2017).

About Mary A. Gumbo Arnp NPPES

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

MARY A. GUMBO ARNP (NPI 1962928861) is an individual adult health provider in Tumwater, Washington, licensed in Washington (AP60786406) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962928861
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY A. GUMBOCredential: ARNP
Location Address344 CLEVELAND AVE SE STE ATumwater, WA 98501-3342
Mailing Address344 Cleveland Ave Se Ste ATumwater, WA 98501-3342 · (425) 200-0654 · Fax (425) 200-0646
Phone(425) 200-0654
Fax(425) 200-0646
Sole ProprietorYes
Enumeration DateAugust 22, 2017
Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1962928861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in WA · AP60786406
344 CLEVELAND AVE SE STE A, Tumwater, WA 98501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary A. Gumbo Arnp 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.

Medicare Billing Reassignments

6

Medicare enrollment records show Mary Gumbo reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Integrated Health And Wellness, LLC
25 mi
Clinic/Center
7808 PACIFIC AVE STE 7
Tacoma, WA 98408
  • Reassigned Medicare billing, Washington enrollment
NPI 1982366936 (425) 200-0654
Rejuvenation Medical PLLC
32 mi
Family Medicine
2222 MERIDIAN AVE E STE A
Edgewood, WA 98371
  • Reassigned Medicare billing, Washington enrollment
  • 19 clinicians in this Medicare group
NPI 1447712559 (206) 407-4171
New Era Mental Health PLLC
62 mi
Psychiatric/Mental Health
4630 200TH ST SW STE F
Lynnwood, WA 98036
  • Reassigned Medicare billing, Washington enrollment
  • 12 clinicians in this Medicare group
NPI 1073198602 (425) 510-1196
Altea Medical Washington PLLC
71 mi
Geriatric Medicine
7024 EVERGREEN WAY STE A
Everett, WA 98203
  • Reassigned Medicare billing, Washington enrollment
  • 166 clinicians in this Medicare group
NPI 1609655497 (360) 209-3090
Cura Healthcare
1,180 mi
Family Medicine
8226 MENAUL BLVD NE # 610
Albuquerque, NM 87110
  • Reassigned Medicare billing, Washington enrollment
  • 25 clinicians in this Medicare group
NPI 1649984667 (206) 313-6816
Post Acute Medical PLLC
2,361 mi
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Washington enrollment
  • 239 clinicians in this Medicare group
NPI 1730713025 (888) 408-7008

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
45 services28 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
22 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98501 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.

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 Mary Gumbo's NPI number?

The NPI number for Mary Gumbo is 1962928861. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Mary Gumbo located?

Mary Gumbo practices at 344 Cleveland Ave SE Ste A, Tumwater, WA 98501. The listed phone number is (425) 200-0654.

What is Mary Gumbo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Gumbo enrolled in Medicare?

Yes. Mary Gumbo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Gumbo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Gumbo reassigns Medicare benefits to 6 organizations: Integrated Health And Wellness, LLC (Tacoma, WA), Rejuvenation Medical PLLC (Edgewood, WA), New Era Mental Health PLLC (Lynnwood, WA), Altea Medical Washington PLLC (Everett, WA), Cura Healthcare (Albuquerque, NM) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Gumbo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Gumbo accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Mary Gumbo 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.

When was this NPI record last updated?

The NPPES record for Mary Gumbo was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.