Individual provider Active NPI

Julia Rose Fiore, MHS, PA-C

  • Medical Physician Assistant
  • Agawam, MA
National Provider Identifier
1215331384
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA5183 Issued in MA
Practice address
200 Silver St Unit 106
Agawam, MA 01001-3067
Phone
(413) 341-5350
Fax
(413) 341-5335
NPI assigned
Oct 17, 2014
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA5183 MA Primary

Addresses

Primary practice location

200 Silver St Unit 106
Agawam, MA 01001-3067

Mailing address

200 Silver St Unit 106
Agawam, MA 01001-3067
Phone (413) 341-5350

Other identifiers 1

IdentifierTypeStateIssuer
110123265AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150401001677 MA Practitioner - Physician Assistant 8123345121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Hillside Dermatology PCGroup PAC ID 3971983073, 7 clinicians

Practice addresses (Care Compare)

200 Silver St
Unit 106
Agawam, MA 01001-3067
Phone 4133415350121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA5183MAMDMedical Physician Assistant

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

Hospital & facility affiliations 2

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1215331384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SILVER ST UNIT 106",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010013067",
            "telephone_number": "413-341-5350",
            "fax_number": "413-341-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SILVER ST UNIT 106",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010013067",
            "telephone_number": "413-341-5350",
            "fax_number": "413-341-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORE",
        "first_name": "JULIA",
        "middle_name": "ROSE",
        "credential": "MHS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA5183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110123265A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Agawam, MA

Sources for this page

Verify at the official NPI Registry.