Individual provider Active NPI

Julie J Phelps, MD

  • Family Medicine Physician
  • Waterville, ME
National Provider Identifier
1679562979
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
015836 Issued in ME
Practice address
13 Railroad SQ
Waterville, ME 04901-6139
Phone
(207) 873-1181
Fax
(207) 873-1186
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 015836 ME Primary

Addresses

Primary practice location

13 Railroad SQ
Waterville, ME 04901-6139

Mailing address

13 Railroad SQ
Waterville, ME 04901-6139
Phone (207) 873-1181

Other identifiers 1

IdentifierTypeStateIssuer
000206031MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040811001159 ME Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3072585876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Geisel School of Medicine at Dartmouth, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Waterville Family PracticeGroup PAC ID 7113957168, 3 clinicians

Practice addresses (Care Compare)

31 Front St
Waterville, ME 04901-6626
Phone (207) 873-1181

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
015836MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waterville Family Practice Family Medicine CurrentSince Sep 1, 2002 Accepting new patients

Locations

31 Front St
Waterville, ME 04901
Phone (207) 872-1181

31 Front St
#2
Waterville, ME 04901

13 Railroad Sq
Waterville, ME 04901
Phone (207) 872-6869

Interoperability endpoints

  • Direct secure messaging: juliephelps@wfamprac.allscriptsdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1679562979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 RAILROAD SQ",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016139",
            "telephone_number": "207-873-1181",
            "fax_number": "207-873-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 RAILROAD SQ",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016139",
            "telephone_number": "207-873-1181",
            "fax_number": "207-873-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JULIE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "015836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000206031",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.