Individual provider Active NPI

Julia M Wortham, PA-C

  • Physician Assistant
  • Loveland, CO
National Provider Identifier
1205440278
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0008436 Issued in CO
Practice address
3451 Mountain Lion Dr
Loveland, CO 80537-8817
Phone
(970) 800-9330
NPI assigned
Sep 7, 2020
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0008436 CO Primary

Addresses

Primary practice location

3451 Mountain Lion Dr
Loveland, CO 80537-8817

Mailing address

3451 Mountain Lion Dr
Loveland, CO 80537-8817
Phone (970) 800-9330

Other names 1

  • Julia M Forsberg Former name

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
I20251211001588 CO Practitioner - Physician Assistant 1557774593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3451 Mountain Lion Dr
Loveland, CO 80537-8817
Phone (970) 800-9330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0008436COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Dermatology & Surgery, LLC CurrentSince Oct 4, 2025 Accepting new patients
Monarch Dermatology & Surgery LLC CurrentSince Oct 4, 2025 Accepting new patients
Monarch Dermatology & Surgery LLC Current Accepting new patients
Texas Orthopedics Sports & Rehabilitation Associates PA Past Accepting new patients
Ortholonestar, PLLC Past Accepting new patients

Locations

3451 Mountain Lion Dr
Loveland, CO 80537
Phone (970) 800-9330

1405 S 8th Ave
Ste 102
Sterling, CO 80751
Phone (970) 522-0591

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00209

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1205440278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 MOUNTAIN LION DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378817",
            "telephone_number": "970-800-9330",
            "fax_number": "720-927-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 MOUNTAIN LION DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378817",
            "telephone_number": "970-800-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHAM",
        "first_name": "JULIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-07",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "FORSBERG",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.