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

NPI Status: Active since August 09, 2006

Contact Information

611 N 39TH AVE
YAKIMA, WA
ZIP 98902
Phone: (509) 249-1288
Fax: (509) 249-6249

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  • Individual
  • Female
  • Nurse Practitioner
  • PECOS Enrolled

About BONNIE KULTGEN

This page provides the complete NPI Profile along with additional information for Bonnie Kultgen, a provider established in Yakima, Washington with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1417967548 assigned on August 2006. The practitioner's primary taxonomy code is 363L00000X with license number RN00045276 (WA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1417967548
Provider Name
BONNIE LOUISE KULTGEN ARNP
Gender
Female
Entity Type
Individual
Location Address
611 N 39TH AVE YAKIMA, WA 98902
Location Phone
(509) 249-1288
Location Fax
(509) 249-6249
Mailing Address
611 N 39TH AVE YAKIMA, WA 98902
Mailing Phone
(509) 249-1288
Mailing Fax
(509) 249-6249
Is Sole Proprietor?
No
Enumeration Date
08-09-2006
Last Update Date
07-08-2007
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A nurse practitioner (NP) like Bonnie Kultgen is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
RN00045276
License State
WA
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

AP30002552 (WA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Q56402MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Bonnie Kultgen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    6 DME suppliers used 30 Medicare Claims 57 Services Paid

  • DME-Other DME (DE005N)

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

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE000N)

    Nebulizer, with compressor (HCPCS:E0570)

    1 DME suppliers used 17 Medicare Claims 17 Services Paid

  • DME-Oxygen and Supplies (DC002N)

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

    1 DME suppliers used 70 Medicare Claims 70 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    1 DME suppliers used 29 Medicare Claims 31 Services Paid

  • DME-Other DME (DE017N)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    2 DME suppliers used 17 Medicare Claims 17 Services Paid

Drugs Administered Through DME

  • DME-Drugs Administered Through DME (DG006N)

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

    2 DME suppliers used 13 Medicare Claims 1200 Services Paid

  • DME-Drugs Administered Through DME (DG000N)

    Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg (HCPCS:J7626)

    1 DME suppliers used 13 Medicare Claims 780 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 98902 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.29
  • Minimum New Patient Price $57.27
  • Maximum New Patient Price $172.8
  • Average New Patient Copayment $22.07
  • Minimum New Patient Copayment $14.31
  • Maximum New Patient Copayment $43.2

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.78
  • Minimum Established Patient Price $18.56
  • Maximum Established Patient Price $141.11
  • Average Established Patient Copayment $25.19
  • Minimum Established Patient Copayment $4.64
  • Maximum Established Patient Copayment $35.27

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417967548
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24271861458
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 1 + 8 + 6 + 1 + 4 + 5 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1417967548 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891703997 MARK A MAIOCCO MD
Individual
Family Medicine611 N 39TH AVE
YAKIMA, WA 98902
(509) 249-1288
1588674618DR. LARRY H KELLER DC
Individual
Chiropractor611 N 39TH AVE
YAKIMA, WA 98902
(509) 249-1288
1730199860DR. JOHN W LYZANCHUK DO
Individual
Family Medicine611 N 39TH AVE
YAKIMA, WA 98902
(509) 249-1288
1023275427MRS. RAYLEE SUSAN WEAVER-JENSEN PA-C
Individual
Physician Assistant611 N 39TH AVE
YAKIMA, WA 98902
(509) 249-1288
1679583702 DIANNA M KALLIS ARNP
Individual
Nurse Practitioner611 N 39TH AVE
YAKIMA, WA 98902
(509) 249-1288
1285738799QUALITY CARE MEDICAL CLINIC,LLC
Organization
Family Medicine611 N 39TH AVE
YAKIMA, WA 98902
(509) 249-1288
1669476131DR. ROY E GONDO M.D.
Individual
Family Medicine611 N 39TH AVE
YAKIMA, WA 98902
(509) 225-6691
1477606549DR. ANATOLE S KIM MD
Individual
Internal Medicine (Cardiovascular Disease)611 N 39TH AVE
YAKIMA, WA 98902
(509) 249-1288
1487933545MS. LISA M BENTON ARNP
Individual
Nurse Practitioner (Family)611 N 39TH AVE
YAKIMA, WA 98902
(509) 249-1288

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417967548, enumerated in the NPI registry as an "individual" on August 09, 2006

The provider is located at 611 N 39th Ave Yakima, Wa 98902 and the phone number is (509) 249-1288

The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $88.29 with an average copayment of $22.07 for new patient appointments. Established patients should expect a typical charge of $100.78 and an average copayment of 25.19. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.