Active NPI
Julie Marie Preston, PA-C
- Medical Physician Assistant
- Decatur, IL
National Provider Identifier
1306026224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 385000284
- Practice address
- 1 Memorial Dr
Physcians Plaza East Ste 110
Decatur, IL 62526-6303 - Phone
- (217) 422-2442
- Fax
- (217) 424-9431
- NPI assigned
- Nov 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 385000284 | IL | Primary |
Addresses
Primary practice location
1 Memorial Dr
Physcians Plaza East Ste 110
Decatur, IL 62526-6303
Mailing address
3798 E. Fulton Ave
Decatur, IL 62521
Phone (217) 864-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16759 Main St
Wildwood, MO 63040-1232
Phone (636) 821-1661
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 385000284 | IL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Faculty Services Inc | Past | Accepting new patients | |
| Decatur Memorial Hospital | Past | Accepting new patients | |
| Decatur Memorial Hospital | Past | Accepting new patients | |
| JMS Hand Associates, S.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dermatology Physician
- Wildwood, MO
- NPI 1083844104
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1164477725
-
- Multi-Specialty Clinic/Center
- Decatur, IL
- NPI 1477276301
-
- Durable Medical Equipment & Medical Supplies
- Decatur, IL
- NPI 1043355480
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1306026224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3798 E. FULTON AVE",
"city": "DECATUR",
"state": "IL",
"postal_code": "62521",
"telephone_number": "217-864-2700",
"fax_number": "217-864-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEMORIAL DR",
"address_2": "PHYSCIANS PLAZA EAST STE 110",
"city": "DECATUR",
"state": "IL",
"postal_code": "625266303",
"telephone_number": "217-422-2442",
"fax_number": "217-424-9431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "JULIE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-08",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "385000284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
- Prairie Eye Center, LTD
- Prairie Oncology Management Services Pharmacy
- Prairieland Service Coordination Inc
- Rita A Prater Crouch, CRNA
- Preferred Covid Solutions LLC
- Prevention and Treatment Services of Decatur Inc
- Aarhianna Primm
- Priority Health Family Medicine LLC
- Kathleen Ann Pritchett, PA
- Progressive Family Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.