Individual provider Active NPI

Julie Marie Wentz, DO

  • Family Medicine Physician
  • Huntersville, NC
National Provider Identifier
1093760324
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013-00080 Issued in NC
Practice address
14330 Oakhill Park LN Ste 200B
Huntersville, NC 28078-3407
Phone
(704) 316-1265
Fax
(704) 316-1266
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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 2054 WV
Family Medicine Physician 207Q00000X 2013-00080 NC Primary

Addresses

Primary practice location

14330 Oakhill Park LN Ste 200B
Huntersville, NC 28078-3407

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

19485 Old Jetton Rd Ste 100
Cornelius, NC 28031-6583
Phone (704) 384-1775

Other practice location 2

16525 Holly Crest Ln
Suite 150
Huntersville, NC 28078-4909
Phone (704) 384-1725

Other practice location 3

9816 Sam Furr Rd Ste 101
Huntersville, NC 28078
Phone (423) 343-7020

Other practice location 4

16525 Holly Crest Ln
Suite 150
Huntersville, NC 28078-4909
Phone (704) 384-1725

Other identifiers 2

IdentifierTypeStateIssuer
3810005456MedicaidWV
1093760324MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwentz41865@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140311001768 NC Practitioner - Family Practice 5991718165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000

16525 Holly Crest LN
Suite 150
Huntersville, NC 28078-4911
Phone (704) 384-1725

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-00080NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Aug 1, 2013 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

19485 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5170

19620 W Catawba Ave
Cornelius, NC 28031
Phone (704) 384-1775

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

14330 Oakhill Park Ln
Ste 200B
Huntersville, NC 28078
Phone 7043161265 ext. 6856

123 Professional Park Dr
Ste 200
Mooresville, NC 28117
Phone (423) 343-7016

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 5

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1093760324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 OAKHILL PARK LN STE 200B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783407",
            "telephone_number": "704-316-1265",
            "fax_number": "704-316-1266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19485 Old Jetton Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280316583",
            "country_code": "US",
            "telephone_number": "704-384-1775",
            "fax_number": "704-384-1776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16525 Holly Crest Ln",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280784909",
            "country_code": "US",
            "telephone_number": "704-384-1725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9816 Sam Furr Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "28078",
            "country_code": "US",
            "telephone_number": "423-343-7020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16525 Holly Crest Ln",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280784909",
            "country_code": "US",
            "telephone_number": "704-384-1725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENTZ",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2054",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2013-00080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005456",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093760324",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwentz41865@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "16525 Holly Crest Ln",
            "address_2": "Suite 150",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280784909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.