Individual provider Active NPI

Julie A Novick, F.N.P.

  • Nurse Practitioner
  • Casper, WY
National Provider Identifier
1467525519
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
16251.0868 Issued in WY
Practice address
4140 Centennial Hills Blvd Ste a
Casper, WY 82609-3265
Phone
(307) 265-7205
Fax
(307) 235-6262
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 16821 WY
Nurse Practitioner 363L00000X 16251.0868 WY Primary

Addresses

Primary practice location

4140 Centennial Hills Blvd Ste a
Casper, WY 82609-3265

Mailing address

4140 Centennial Hills Blvd Ste a
Casper, WY 82609-3265
Phone (307) 265-7205

Other identifiers 3

IdentifierTypeStateIssuer
124874000MedicaidWY
P00435793OtherWYRAILROAD MEDICARE
315262OtherWYWY BLUE SHIELD

Other names 1

  • Julie A Powell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20070911000537 WY Practitioner - Nurse Practitioner 4284727934 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16251.0868WYMDNurse Practitioner
16821WYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Casper Orthopaedic Associates PC CurrentSince Sep 2, 2014 Accepting new patients
Memorial Hospital of Converse County Current Accepting new patients
Casper Orthopaedic Associates PC Nurse Practitioner CurrentSince Sep 2, 2014 Accepting new patients
Memorial Hospital of Converse County CurrentSince Oct 3, 2022 Accepting new patients
Wyoming Health Medical Group, LLC Past Accepting new patients
Hospitalist Services of Wyoming LLC Past Accepting new patients

Locations

4140 Centennial Hills Blvd
Ste A
Casper, WY 82609
Phone (307) 472-8871

6500 E 2nd St
Casper, WY 82609
Phone (307) 235-4180

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

700 E Center St
Douglas, WY 82633
Phone (307) 352-8946

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

401 S 15th St
Worland, WY 82401
Phone (307) 347-2525

Interoperability endpoints

  • Direct secure messaging: jnovick@yourcarecommunity.org
  • Direct secure messaging: julienovick@casperorth.allscriptsdirect.net
  • Direct secure messaging: julie.novick@direct.wyomingmedicalcenter.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1467525519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVICK",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "16821",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "16251.0868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124874000",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00435793",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WY BLUE SHIELD",
            "identifier": "315262",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "POWELL",
            "middle_name": "A",
            "credential": "F.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.