NPIMap

Individual provider Active NPI

Julie Lynn Larue, AGNP-C

  • Nurse Practitioner
  • Carlisle, PA
National Provider Identifier
1063936508
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP016524 Issued in PA
Practice address
1533 Commerce Ave Ste 2
Carlisle, PA 17015-9128
Phone
(717) 960-8956
Fax
(717) 218-7557
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP016524 PA Primary

Addresses

Primary practice location

1533 Commerce Ave Ste 2
Carlisle, PA 17015-9128

Mailing address

409 South Second Street
Suite 2F
Harrisburg, PA 17104-1612
Phone (717) 231-8937

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlarue58745@phsdirect.pinnaclehealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171006002808 PA Practitioner - Nurse Practitioner 3971878554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Regional PhysiciansGroup PAC ID 7416228358, 158 clinicians

Practice addresses (Care Compare)

11 Sprint Dr
Suite C
Carlisle, PA 17015-7789
Phone (717) 245-9264

Hospital & facility affiliations

  • Residential Home Health of Carlisle, LLC Home health agency, Mechanicsburg, PA, CCN 397047
  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP016524PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Nurse Practitioner CurrentSince Aug 8, 2017 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Aug 8, 2017 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

1533 Commerce Ave
Ste 2
Carlisle, PA 17015
Phone (717) 796-9300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

11 Sprint Dr
Ste C
Carlisle, PA 17015
Phone (717) 245-9264

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

Organizations & group practices 3

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 10

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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1063936508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SOUTH SECOND STREET",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-231-8937",
            "fax_number": "717-231-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 COMMERCE AVE STE 2",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159128",
            "telephone_number": "717-960-8956",
            "fax_number": "717-218-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUE",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlarue58745@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1533 Commerce Ave Ste 2",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170159128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.