Julia M Bates, PA-C
Individual provider Active NPI Physician Assistant · Willmar, MN
NPI 1306246277 · NPPES record last updated Jul 13, 2022
Key facts
- NPI
- 1306246277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 11692 (MN)
- Practice address
- 301 Becker Ave SW
Willmar, MN 56201-3302 - Phone
- (320) 235-4543
- NPI assigned
- Aug 28, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centracare Clinic Southwest LLC
Centracare Clinic
Practice addresses (Care Compare)
101 Willmar Ave SW
Willmar, MN 56201-3556
Phone (320) 231-5000
1200 6TH Ave N
Saint Cloud, MN 56303-2735
1200 6TH N Ave
Saint Cloud, MN 56303-2735
Phone (320) 252-5131
301 Becker Ave SW
Rice Memorial Hosptial
Willmar, MN 56201-3302
Phone (320) 235-4543
600 Peterson Pkwy
New London, MN 56273-7823
Phone (320) 354-2222
Hospital & facility affiliations
- Centracare- Rice Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150109000365 | MN | Practitioner - Physician Assistant | 7618291105 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11692 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carris Health LLC | Current |
Accepting new patients | |
| Carris Health - Redwood LLC | Current |
Accepting new patients | |
| Redwood Area Hospital | Current | Accepting new patients | |
| Carris Health - Redwood LLC | Current | Accepting new patients | |
| Centracare Clinic Southwest LLC | Current |
Accepting new patients | |
| Centracare Clinic | Current |
Accepting new patients | |
| Centracare Clinic | Current |
Accepting new patients | |
| Carris Health - Redwood LLC | Current |
Accepting new patients |
Locations
600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222
200 W 1st St
Paynesville, MN 56362
Phone (320) 243-3767
101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120
101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079
Interoperability endpoints
- jbates526017@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11692 | MN | Yes |
Addresses
Primary practice location
301 Becker Ave SW
Willmar, MN 56201-3302
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbates526017@direct.centracare.com | Direct |
Other providers in Willmar, MN
- Sara Barber
- Stephanie M Barrett
- Cynthia Ann Barsness
- Ahmed Barut
- Michael D Bateman
- Nathan J Bates
- Megan Brianne Beaver
- Gene A Beavers
- Emily Bebler
- Samantha Kaye Beck
All providers in Willmar, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.