Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bonnie Elizabeth Holley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639708258

Bonnie Elizabeth Holley is a General Surgery in Ellensburg, Washington. Qualified in 2020, 6 years ago. Practices with Kittitas County Public Hospital Dist 1, a 81-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

603 S Chestnut St
Ellensburg, WA 98926-3875
Phone: (509) 933-8693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD.MD.61689660 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639708258
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kittitas County Public Hospital Dist 1 — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ellensburg