Individual provider Active NPI

Julie Ansell, MD

  • Family Medicine Physician
  • Boulder, CO
National Provider Identifier
1336125103
Registry record updated Mar 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0042406 Issued in CO
Practice address
1755 48TH St Ste 200
Boulder, CO 80301-2712
Phone
(303) 415-7450
Fax
(303) 494-5265
NPI assigned
Dec 22, 2005
Last updated
Mar 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2018

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 DR.0042406 CO Primary

Addresses

Primary practice location

1755 48TH St Ste 200
Boulder, CO 80301-2712

Mailing address

203 S Rollie Ave
Billing Dept/Credentialist
Fort Lupton, CO 80621-1508
Phone (303) 286-4560

Other identifiers 1

IdentifierTypeStateIssuer
14380030MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, WA, HI4 enrollments
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.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20041004000223 CO Practitioner - Family Practice 4587623871 Reassigns benefits to 1 organization
I20230118002936 TX Practitioner - Family Practice 4587623871 Reassigns benefits to 3 organizations
I20240507002412 WA Practitioner - Family Practice 4587623871 Reassigns benefits to 1 organization
I20250721003570 HI Practitioner - Family Practice 4587623871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Aurora, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS IHS Phoenix AreaGroup PAC ID 7810163011, 25 clinicians
Molokai General HospitalGroup PAC ID 2264322874, 13 clinicians

Practice addresses (Care Compare)

943 Hualapai Way
Peach Springs Health Center
Peach Springs, AZ 86434-0190
Phone (928) 769-2900

PO Box
Kaunakakai, HI 96748

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
DHHS IHS Phoenix CurrentSince Dec 1, 2022 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Molokai General Hospital CurrentSince Jul 1, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Dec 1, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Molokai General Hospital CurrentSince Jul 1, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Aug 28, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 18, 2024 Accepting new patients
Tulalip Tribes of Washington CurrentSince Sep 23, 2024 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Aug 28, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
Tulalip Tribes of Washington CurrentSince Sep 23, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Mar 27, 2024 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Sea Mar Community Health Centers Family Medicine CurrentSince Mar 27, 2024 Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (515) 513-4913

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

6406 Marine Dr
Ste A
Tulalip, WA 98271

7520 Totem Beach Rd
Tulalip, WA 98271
Phone (360) 651-4511

10030 SW 210th St
Vashon, WA 98070
Phone (206) 463-3671

Organizations & group practices 31

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.

View all 31

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522454400000",
    "number": "1336125103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ROLLIE AVE",
            "address_2": "BILLING DEPT/CREDENTIALIST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211508",
            "telephone_number": "303-286-4560",
            "fax_number": "303-286-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 48TH ST STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012712",
            "telephone_number": "303-415-7450",
            "fax_number": "303-494-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSELL",
        "first_name": "JULIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2018-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0042406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14380030",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.