Individual provider Active NPI

Jennifer Julius

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1396315438
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8543 Issued in AZ
Practice address
2902 W Agua Fria Fwy Ste 1090
Phoenix, AZ 85027-3970
Phone
(602) 648-5444
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 8543 AZ
Physician Assistant 363A00000X 8543 AZ Primary

Addresses

Primary practice location

2902 W Agua Fria Fwy Ste 1090
Phoenix, AZ 85027-3970

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210802001754 AZ Practitioner - Physician Assistant 5991109738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20333 N 19TH Ave
Suite 230
Phoenix, AZ 85027-9901
Phone (602) 772-3800

5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8543AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of North America, PLLC Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Orthopedic Specialists of North America, PLLC Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Orthopedic Specialists of North America, PLLC Orthopaedic Surgery Past Accepting new patients

Locations

20325 N 51st Ave
Ste 124
Glendale, AZ 85308
Phone (602) 795-6300

20333 N 19th Ave
Ste 230
Phoenix, AZ 85027
Phone (480) 707-9504

33300 N 32nd Ave
Ste 320
Phoenix, AZ 85085

3033 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161

2902 W Agua Fria Fwy
Ste 1090
Phoenix, AZ 85027
Phone (620) 648-5444

2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795

3133 E Camelback Rd
Ste 245
Phoenix, AZ 85016
Phone (602) 631-3161

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

Organizations & group practices 3

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 1

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1396315438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 W AGUA FRIA FWY STE 1090",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273970",
            "telephone_number": "602-648-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIUS",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "8543",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.