Individual provider Active NPI

Julie Cynthia Kulas, PAC

  • Surgical Physician Assistant
  • Burnsville, MN
National Provider Identifier
1225207699
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10405 Issued in MN
Practice address
303 E Nicollet Blvd
Suite 300
Burnsville, MN 55337-4522
Phone
(952) 435-4140
Fax
(952) 435-4189
NPI assigned
Feb 29, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10405 MN Primary

Addresses

Primary practice location

303 E Nicollet Blvd
Suite 300
Burnsville, MN 55337-4522

Mailing address

3400 W 66TH St
Suite 350
Edina, MN 55435-2111
Phone (952) 832-0805

Other names 1

  • Julie Cynthia Heck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20080326000828 MN Practitioner - Physician Assistant 3072699339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2000

303 E Nicollet Blvd
Suite 300
Burnsville, MN 55337-4594
Phone (952) 435-4140

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10405MNMDGeneral Practice Dentistry
1109MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Oct 1, 2008 Accepting new patients
Fairview Express Care CurrentSince Nov 4, 2020 Accepting new patients
Fairview Health Services CurrentSince Oct 1, 2008 Accepting new patients
Fairview Express Care CurrentSince Nov 4, 2020 Accepting new patients
Surgical Consultants, P.a. Past Accepting new patients
Fairview Express Care Past Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

303 E Nicollet Blvd
Ste 300
Burnsville, MN 55337
Phone (952) 435-4140

6405 France Ave S
Ste 440
Edina, MN 55435
Phone (952) 927-7004

400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

Interoperability endpoints

  • Direct secure messaging: jkulas205582@fairview.direct-ci.com

Organizations & group practices 7

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225207699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W 66TH ST",
            "address_2": "SUITE 350",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352111",
            "telephone_number": "952-832-0805",
            "fax_number": "952-832-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E NICOLLET BLVD",
            "address_2": "SUITE 300",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374522",
            "telephone_number": "952-435-4140",
            "fax_number": "952-435-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULAS",
        "first_name": "JULIE",
        "middle_name": "CYNTHIA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MN",
            "license": "10405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "HECK",
            "middle_name": "CYNTHIA",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.