AMY ELIZABETH BONDURANT (MD) – Gynecologic Oncology Physician, NPI 1619992724

AMY ELIZABETH BONDURANT (MD) is a healthcare provider. based in Everett, Washington. specializing in GYNECOLOGICAL ONCOLOGY, OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MD60076574 (WA). The NPI Number for AMY ELIZABETH BONDURANT (MD) is 1619992724

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
AMY ELIZABETH BONDURANT (MD)
NPI
1619992724
Phone
(425) 297-5660
Address
1717 13th St Ste 210
Enumeration Date
12 July 2006
Last Update Date
16 April 2021

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4253476330
Graduation Year
2001 (25 years ago)
PAC ID
3173526829
Group Practice PAC ID
8325100480
Professional Enrollment ID
I20090518000117
Address ID
WA982755457MU4112XSWXX501
Telehealth
Yes

Contacts

Secure Messaging
abondurant124959@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

45 GYNECOLOGICAL ONCOLOGY in WA

Provider Addresses for AMY ELIZABETH BONDURANT (MD)

  • 1717 13th St Ste 210

    Everett, WA 982011621

    Phone: (425) 297-5660

    Fax: (425) 297-5664

    Type: Location

  • Madison Street, West Edge, Belltown, Seattle, King County, Washington, 98174, United States

    SEATTLE, WA 981043551

    Phone: (206) 965-1700

    Fax: (206) 965-1736

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $960.

Total Amount is formed as General ($960) + Research ($0) + Ownership ($0) = $960.

Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($714).

Total Amount

$960

General + Research + Ownership

Payments

4

Total payment records

General Amount

$960

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090518000117IGynecological OncologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4926$0
99213Established patient office or other outpatient visit, 20-29 minutes4439$0
99205New patient office or other outpatient visit, 60-74 minutes3737$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
58571Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less1818$0
View full utilization report →

Insurance plans in this area (ZIP 98201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325100480View full group profile

Reviews

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Frequently asked questions

Is there an official ID for AMY ELIZABETH BONDURANT (MD) in U.S. healthcare records?
The official identifier for AMY ELIZABETH BONDURANT (MD) is NPI 1619992724.
Active or inactive — what applies to AMY ELIZABETH BONDURANT (MD)?
You should see AMY ELIZABETH BONDURANT (MD) as active in CMS-hosted NPPES data.
What area of care is associated with AMY ELIZABETH BONDURANT (MD)?
AMY ELIZABETH BONDURANT (MD)'s record emphasizes Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with AMY ELIZABETH BONDURANT (MD)?
Directory geography for AMY ELIZABETH BONDURANT (MD) centers on Everett, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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