Julia Charpentier
Individual provider Active NPI Medical Physician Assistant · Willimantic, CT
NPI 1174497333 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1174497333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 7366 (CT)
- Practice address
- 5 Founders St Ste 200
Willimantic, CT 06226-2051 - Phone
- (860) 456-5330
- NPI assigned
- Oct 1, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The William W Backus Hospital
Practice addresses (Care Compare)
5 Founders St
Suite 200
Willimantic, CT 06226-2051
Phone (860) 456-5330
Hospital & facility affiliations
- William W Backus Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251125003909 | CT | Practitioner - Physician Assistant | 1850883943 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7366 | CT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The William W Backus Hospital | Current | Accepting new patients | |
| William W Backus Hospital | Current |
Accepting new patients | |
| The William W Backus Hospital | Current |
Accepting new patients | |
| Windham Community Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Windham Community Memorial Hospital | Past | Accepting new patients |
Locations
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
584 Norwich Rd
Ste 200
Plainfield, CT 06374
Phone (860) 230-2836
5 Founders St
Ste 200
Willimantic, CT 06226
Phone (860) 456-5330
112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | CT | ||
| Medical Physician Assistant | 363AM0700X | 7366 | CT | Yes |
Addresses
Primary practice location
5 Founders St Ste 200
Willimantic, CT 06226-2051
Mailing address
5 Founders St Ste 200
Willimantic, CT 06226-2051
Phone (860) 456-5330
Other providers in Willimantic, CT
- Cheryl A Ceniglio
- Center for Mental Wellness PLLC
- Centra Home-Care Services LLC
- Lisa T Chadwick
- Change Counseling, LLC
- Jamie Elizabeth Charron
- Blanca D Charry
- Chelliah Pandian LLC
- Douglas Chung
- Amanda Church
All providers in Willimantic, CT · Medical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.