Julie Crow-Petersen, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95011449 Issued in CA

Practice address

6065 State Highway 193
Georgetown, CA 95634-9623

Phone

(530) 333-2548

NPI assigned

Mar 27, 2019

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

94.02 of 100Reported as group

Quality

88.59

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Swope Medical Group Inc

  • Emergency Medicine Physician
  • Grass Valley, CA
  • NPI 1972500593
  Medicare reassignment NPD

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1619438249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45680",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941450680",
            "telephone_number": "530-626-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 STATE HIGHWAY 193",
            "city": "GEORGETOWN",
            "state": "CA",
            "postal_code": "956349623",
            "telephone_number": "530-333-2548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2320 Sweetwater Trail",
            "address_purpose": "LOCATION",
            "city": "Cool",
            "state": "CA",
            "postal_code": "95614",
            "country_code": "US",
            "telephone_number": "707-328-7642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROW-PETERSEN",
        "first_name": "JULIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95011449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Black Oak Mine Unified School District
• Debra Boardman-Cheevers, FNP
• James Carley
• Rebecca Sue Clark
• Codyanne Marie Coombs, CLT
• Laura Ann Curry, MA, LMFT
• Gregory L Dales
• Beth A Gerkan, FNP
• Mark Lowell Greenmun, DDS
• Kenneth F. Hajek, DDS

• Family Nurse Practitioner in Georgetown, CA
• Providers in Georgetown, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.