Julie Anderson, RPA-C
Individual provider Active NPI Medical Physician Assistant · Westport, NY
NPI 1508949009 · NPPES record last updated Apr 19, 2013
Key facts
- NPI
- 1508949009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 006291 (NY)
- Practice address
- 6097 U.S. Rte. 9N
Westport, NY 12993 - Phone
- (518) 962-2313
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 21
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- JS Weill Medical College, Cornell University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Elizabethtown Community Hospital
Practice addresses (Care Compare)
6097 Nys Route 9N
Westport, NY 12993-2308
Phone (518) 962-2313
75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377
Hospital & facility affiliations
- Essex County Nursing Service
- Elizabethtown Community Hospital
- The University of Vermont Health Network - Champl
- Porter Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130815000560 | NY | Practitioner - Physician Assistant | 8527200872 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabethtown Community Hospital | Current |
Accepting new patients | |
| Elizabethtown Community Hospital | Current |
Accepting new patients | |
| Essex County Treasurer | Past | Accepting new patients | |
| NPI 1467448274 | Past | Accepting new patients |
Locations
6097 Nys Route 9N
Westport, NY 12993
Phone (518) 962-2313
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
- janderson469419@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 006291 | NY | Yes |
Addresses
Primary practice location
6097 U.S. Rte. 9N
Westport, NY 12993
Mailing address
6097 U.S. Rte. 9 N
Westport, NY 12993
Phone (518) 962-2313
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141364513 | Other | NY | TAX ID |
Other providers in Westport, NY
- Artemis Physical Therapy, PLLC
- Allan Grant Beal
- Boquet Valley Central School
- Buffalo Vamc
- Pasqualino Caputo
All providers in Westport, NY · Medical Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.