Individual provider Active NPI

Julu Wagle

  • Nurse Practitioner
  • Wheat Ridge, CO
National Provider Identifier
1184161473
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0994646-NP Issued in CO
Practice address
10900 W 44TH Ave Unit 200
Wheat Ridge, CO 80033
Phone
(303) 993-1330
Fax
(303) 284-4082
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1634801 CO
Nurse Practitioner 363L00000X APN.0994646-NP CO Primary

Addresses

Primary practice location

10900 W 44TH Ave Unit 200
Wheat Ridge, CO 80033

Mailing address

10900 W 44TH Ave Unit 200
Wheat Ridge, CO 80033-2742
Phone (303) 993-1330

Other practice location 1

5750 Dtc Pkwy
Suite 170
Greenwood Village, CO 80111-3226
Phone (303) 504-9945

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191120001139 CO Practitioner - Nurse Practitioner 1850723438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Housecalls LLCGroup PAC ID 0840212809, 124 clinicians

Practice addresses (Care Compare)

12600 W Colfax Ave
Suite B200
Lakewood, CO 80215-3736
Phone (720) 923-1250

Hospital & facility affiliations

  • Bayada Home Health Care Inc Home health agency, Denver, CO, CCN 067056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1634801COMDRegistered Nurse
APN.0994646-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forte Health and Wellness Inc Nurse Practitioner Current Accepting new patients
Physician Housecalls LLC CurrentSince Nov 4, 2019 Accepting new patients

Locations

8181 E Tufts Ave
Ste 560
Denver, CO 80237
Phone (720) 669-3480

8181 E Tufts Ave
Ste 510
Denver, CO 80237
Phone (720) 833-7715

12600 W Colfax Ave
Ste B200
Lakewood, CO 80215
Phone (303) 459-4000

5822 S Lowell Way
Littleton, CO 80123
Phone (303) 798-2497

10900 W 44th Ave
Ste 201
Wheat Ridge, CO 80033

10900 W 44th Ave
Unit 200
Wheat Ridge, CO 80033
Phone (303) 379-9371

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CICGBD

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 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": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1184161473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 W 44TH AVE UNIT 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332742",
            "telephone_number": "303-993-1330",
            "fax_number": "303-284-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 W 44TH AVE UNIT 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-993-1330",
            "fax_number": "303-284-4082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 Dtc Pkwy",
            "address_2": "Suite 170",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801113226",
            "country_code": "US",
            "telephone_number": "303-504-9945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGLE",
        "first_name": "JULU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1634801",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0994646-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.