Individual provider Active NPI

Julia Anne Menard, FNP-BC

  • Family Nurse Practitioner
  • Sandy, OR
National Provider Identifier
1497027569
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202112819NP-PP Issued in OR
Practice address
17055 Ruben LN
Sandy, OR 97055-9276
Phone
(503) 668-8002
Fax
(503) 668-5246
NPI assigned
Feb 3, 2012
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 728662 TX
Family Nurse Practitioner 363LF0000X 728662 TX
Family Nurse Practitioner 363LF0000X 66968 ID
Family Nurse Practitioner 363LF0000X 202112819NP-PP OR Primary
Emergency Medicine Physician 207P00000X 728662 TX

Addresses

Primary practice location

17055 Ruben LN
Sandy, OR 97055-9276

Mailing address

17055 Ruben LN
Sandy, OR 97055-9276
Phone (503) 668-8002

Other identifiers 3

IdentifierTypeStateIssuer
1497027569OtherTXUNITED HEALTH CARE
868N80OtherTXBCBSTX
1497027569OtherTXTRICARE SOUTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, MT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211213000973 OR Practitioner - Nurse Practitioner 3173784345 Reassigns benefits to 5 organizations
I20211223001119 WA Practitioner - Nurse Practitioner 3173784345 Reassigns benefits to 1 organization
I20220701001329 MT Practitioner - Nurse Practitioner 3173784345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians
Maxem Health Urgent Care Lake OswegoGroup PAC ID 9830583905, 7 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

17055 Ruben LN
Sandy, OR 97055-9276
Phone (503) 668-8002

17437 Boones Ferry Rd
Suite 100
Lake Oswego, OR 97035-6202
Phone (503) 387-3796

2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Phone (503) 666-5050

3425 SE 192ND Ave
Suite 106
Vancouver, WA 98683-1440
Phone (360) 205-2960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
84.7
Promoting interoperability
100
Improvement activities
40
Cost
79.21

Merit-based Incentive Payment System (MIPS)

Final score
96.85 of 100Reported as group
Quality
84.92
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
728662TXMDNurse Practitioner
66968IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Health & Wellness, LLC CurrentSince Jun 1, 2022 Accepting new patients
Northwest Acute Care Specialists PC Emergency Medicine CurrentSince May 4, 2024 Accepting new patients
Icco, LLC Current Accepting new patients
Portland Adventist Medical Center CurrentSince May 20, 2024 Accepting new patients
Northwest Acute Care Specialists PC Emergency Medicine CurrentSince May 4, 2024 Accepting new patients
Icco LLC CurrentSince Dec 27, 2021 Accepting new patients
Portland Adventist Medical Center Emergency Medicine CurrentSince Jan 29, 2023 Accepting new patients
Icco, LLC CurrentSince Dec 27, 2021 Accepting new patients
Maxem Health Urgent Care Lake Oswego CurrentSince Sep 8, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Dec 16, 2021 Accepting new patients
Medexpress Urgent Care Texas, P.a. Emergency Medicine Past Accepting new patients
Legacy Salmon Creek Hospital Past Accepting new patients
Legacy Clinics LLC PastSince Dec 16, 2021 Accepting new patients
Peak Health and Wellness, PLLC PastSince Jun 1, 2022 Accepting new patients

Locations

403 W Main St
Belgrade, MT 59714
Phone (406) 388-8708

862 Harmon Stream Blvd
Ste 101
Bozeman, MT 59718
Phone (406) 312-8360

2870 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone (503) 646-9222

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

186 W Ellendale Ave
Dallas, OR 97338
Phone (971) 900-4984

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

22262 NE Glisan St
Gresham, OR 97030
Phone (503) 489-2024

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050

9361 SE 82nd Ave
Happy Valley, OR 97086
Phone (503) 457-4301

17437 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035
Phone (503) 387-3796

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1350 NE 122nd Ave
Ste 200
Portland, OR 97230
Phone (503) 408-7008

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

17055 Ruben Ln
Sandy, OR 97055
Phone (503) 668-8002

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

200 NE Mother Joseph Pl
Ste 410
Vancouver, WA 98664
Phone (503) 413-3580

305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912

3425 SE 192nd Ave
Ste 106
Vancouver, WA 98683
Phone (360) 205-2960

Organizations & group practices 14

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 14

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": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1497027569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17055 RUBEN LN",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970559276",
            "telephone_number": "503-668-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17055 RUBEN LN",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970559276",
            "telephone_number": "503-668-8002",
            "fax_number": "503-668-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENARD",
        "first_name": "JULIA",
        "middle_name": "ANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "728662",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "728662",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "66968",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202112819NP-PP",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "728662",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1497027569",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "868N80",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1497027569",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, OR

Sources for this page

Verify at the official NPI Registry.