Individual provider Active NPI

Julie McCormick, M.D.

  • Internal Medicine Physician
  • Anchorage, AK
National Provider Identifier
1124048384
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4158 Issued in AK
Practice address
2741 Debarr Rd Ste C416
Anchorage, AK 99508-2998
Phone
(907) 931-7101
Fax
(907) 274-7855
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4158 AK Primary

Addresses

Primary practice location

2741 Debarr Rd Ste C416
Anchorage, AK 99508-2998

Mailing address

2741 Debarr Rd Ste C416
Anchorage, AK 99508-2998
Phone (907) 931-7101

Other practice location 1

3340 Providence Dr
Suite 466
Anchorage, AK 99508-4627
Phone (907) 263-2200

Other identifiers 1

IdentifierTypeStateIssuer
1013993MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20070629000037 AK Practitioner - Internal Medicine 3274632450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Wellness and Longevity Clinic LLCGroup PAC ID 2163813395, 2 clinicians

Practice addresses (Care Compare)

2741 Debarr Rd
Suite C416
Anchorage, AK 99508-2998
Phone (907) 931-7101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Wellness and Longevity Clinic LLC Internal Medicine CurrentSince Apr 13, 2022 Accepting new patients
Municipality of Skagway Past Accepting new patients

Locations

2741 Debarr Rd
Ste C416
Anchorage, AK 99508
Phone (907) 258-4430

Interoperability endpoints

  • Direct secure messaging: julie.mccormick.1@17428.direct.athenahealth.com

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 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1124048384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C416",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082998",
            "telephone_number": "907-931-7101",
            "fax_number": "907-274-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C416",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082998",
            "telephone_number": "907-931-7101",
            "fax_number": "907-274-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3340 Providence Dr",
            "address_2": "Suite 466",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084627",
            "country_code": "US",
            "telephone_number": "907-263-2200",
            "fax_number": "907-276-0366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "4158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013993",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.