Individual provider Active NPI

Julianne Jean Cameron, DO

  • Family Medicine Physician
  • Hayden, ID
National Provider Identifier
1306280029
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0-0926 Issued in ID
Practice address
8880 N Hess St Ste 1
Hayden, ID 83835-8716
Phone
(208) 295-5772
Fax
(208) 772-5275
NPI assigned
Apr 24, 2013
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0-0926 ID Primary

Addresses

Primary practice location

8880 N Hess St Ste 1
Hayden, ID 83835-8716

Mailing address

8880 N Hess St Ste 1
Hayden, ID 83835-8716
Phone (208) 295-5772

Other identifiers 1

IdentifierTypeStateIssuer
1306280029MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0-0926IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Idaho DPC, PLLC Family Medicine PastSince Mar 12, 2024 Accepting new patients
North Idaho Day Surgery LLC PastSince May 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jcameron@nwsh.gwaydirect.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1306280029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 N HESS ST STE 1",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358716",
            "telephone_number": "208-295-5772",
            "fax_number": "208-772-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 N HESS ST STE 1",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358716",
            "telephone_number": "208-295-5772",
            "fax_number": "208-772-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "JULIANNE",
        "middle_name": "JEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "0-0926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306280029",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

Verify at the official NPI Registry.