Meredith Lee Julian, N.P.
Individual provider Active NPI Family Nurse Practitioner · Groton, MA
NPI 1669917696 · NPPES record last updated Dec 29, 2016
Key facts
- NPI
- 1669917696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN2286905 (MA)
- Practice address
- 100 Boston Rd
Suite E
Groton, MA 01450-1879 - Phone
- (978) 448-4300
- NPI assigned
- Dec 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Emerson Practice Associates, Inc
Practice addresses (Care Compare)
100 Boston Rd
Groton, MA 01450-1879
Phone (978) 278-3321
133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020
133 Old Rd to Nine Acre Corner
Mary Beth Misserville
Concord, MA 01742-4159
Hospital & facility affiliations
- Emerson Hospital -
- Massachusetts Eye and Ear Infirmary -
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20200914000198 | MA | Practitioner - Nurse Practitioner | 4587082201 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2286905 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerson Practice Associates, Inc. | Current |
Accepting new patients |
Locations
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
240 Main St
Groton, MA 01450
Phone (978) 448-4379
100 Boston Rd
Ste E
Groton, MA 01450
Phone (978) 448-4300
Interoperability endpoints
- julian.meredith.epa@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2286905 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2286905 | MA | Yes |
Addresses
Primary practice location
100 Boston Rd
Suite E
Groton, MA 01450-1879
Mailing address
100 Boston Rd
Suite E
Groton, MA 01450-1879
Phone (978) 448-4300
Other providers in Groton, MA
- Bradie Hutchinson
- Jay M. Decoteau, D.M.D., P.C.
- Susan Jensen
- Jessica Hebert OT, LLC
- John P. Katzenberg
- Monicah Kagungo
- Luciana M Killam
- Mary Frances Killian
- Kindred Smiles Pediatric Dentistry LLC
- Marisa Dawn King
All providers in Groton, MA · Family Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2016. 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.