Active NPI
Julie Nicole Anderson, PA-C
- Physician Assistant
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 54616
- Practice address
- 2823 Fresno St
Fresno, CA 93721-1324 - Phone
- (559) 499-6440
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 54616 | CA | Primary |
Addresses
Primary practice location
2823 Fresno St
Fresno, CA 93721-1324
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 321-4161
2222 N Nevada Ave
Colorado Springs, CO 80907-6794
Phone (719) 776-5333
6001 E Woodman Rd
Colorado Springs, CO 80923-2601
Phone (719) 571-1476
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 91.15
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.61 of 100
- Quality
- 76.83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 35.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54616 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs of Colorado Inc | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Colorado Inc. | Current | Accepting new patients |
Locations
10860 New Allegiance Dr
Colorado Springs, CO 80921
Phone (719) 757-7000
2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1518491232
-
- Emergency Medicine Physician
- Littleton, CO
- NPI 1760415871
-
- Critical Care Medicine (Internal Medicine) Physician
- Durango, CO
- NPI 1659220663
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1720614217
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1073043972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 E DIVISADERO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211431",
"telephone_number": "559-443-2682",
"fax_number": "559-443-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2823 FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211324",
"telephone_number": "559-499-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JULIE",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "54616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.