Individual provider Active NPI

Julie Anne Staats, DO

  • Family Medicine Physician
  • Niceville, FL
National Provider Identifier
1023092525
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS12516 Issued in FL
Practice address
2600 Partin Dr N
Ste 120
Niceville, FL 32578-1543
Phone
(850) 279-3040
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO-561 AL
Family Medicine Physician 207Q00000X OS12516 FL Primary

Addresses

Primary practice location

2600 Partin Dr N
Ste 120
Niceville, FL 32578-1543

Mailing address

2600 Partin Dr N
Ste 120
Niceville, FL 32578-1543
Phone (850) 279-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140731002130 FL Practitioner - Family Practice 4789800483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2600 Partin Dr N
Suite 120
Niceville, FL 32578-1543
Phone (850) 279-3040

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Shalimar, FL, CCN 107240
  • Peoples Home Health LLC Home health agency, Pensacola, FL, CCN 109664
  • HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054
  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292
  • HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223

Merit-based Incentive Payment System (MIPS)

Final score
91.41 of 100Reported as group
Quality
85.14
Promoting interoperability
100
Improvement activities
40
Cost
86.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO-561ALMDFamily Medicine Physician
OS12516FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Staats DO Family Medicine PA Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Julie Staats DO Family Medicine Family Medicine CurrentSince Dec 22, 2019 Accepting new patients

Locations

2600 Partin Dr N
Ste 120
Niceville, FL 32578
Phone (850) 279-3040

4566 E Highway 20
Ste 102
Niceville, FL 32578
Phone (850) 746-2515

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15113/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1023092525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 PARTIN DR N",
            "address_2": "STE 120",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781543",
            "telephone_number": "850-279-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 PARTIN DR N",
            "address_2": "STE 120",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781543",
            "telephone_number": "850-279-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAATS",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO-561",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS12516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.