Bontu Gudeta Kentiba, ARNP - Medicare Nurse Practitioner in Lacey, WA

Bontu Gudeta Kentiba, ARNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Lacey, Washington. graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. current practice location is 605 Woodland Square Loop Se, Lacey, Washington. You can reach out to office (for appointments etc.) via phone at (360) 764-8000.

Bontu Gudeta Kentiba is licensed to practice in Washington (license number AP70057059) and also participates in the medicare program. may accept medicare assignments (which means may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and NPI Number is 1902640105.

Contact Information

Bontu Gudeta Kentiba, ARNP
605 Woodland Square Loop Se,
Lacey, WA 98503-1045
(360) 764-8000
Not Available

Map and Direction




Provider's Profile

Full NameBontu Gudeta Kentiba
Gender
SpecialityNurse Practitioner
Experience1 Years
Location605 Woodland Square Loop Se, Lacey, Washington
Accepts Medicare AssignmentsMay be. may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bontu Gudeta Kentiba graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1902640105
  • Provider Enumeration Date: 06/21/2024
  • Last Update Date: 10/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1759865348
  • Enrollment ID: I20260320003973

Medical Identifiers

Medical identifiers for Bontu Gudeta Kentiba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902640105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health AP70057059 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bontu Gudeta Kentiba is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bontu Gudeta Kentiba, ARNP
4410 Gallagher Way Nw,
Olympia, WA 98502-9005

Ph: () -
Bontu Gudeta Kentiba, ARNP
605 Woodland Square Loop Se,
Lacey, WA 98503-1045

Ph: (360) 764-8000

Reviews and Comments


Nurse Practitioner Nurses in Lacey, WA

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Mr. Marshall Jonathon Saipher, ANP-C
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Phone: 214-238-5036    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.