Julie E Felix, APNP
Individual provider Active NPI Family Nurse Practitioner · Ripon, WI
NPI 1679853535 · NPPES record last updated Dec 8, 2020
Key facts
- NPI
- 1679853535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4525-33 (WI)
- Practice address
- 790 Eastgate Dr
Ripon, WI 54971-9614 - Phone
- (920) 945-3590
- Fax
- (920) 745-7899
- NPI assigned
- Aug 24, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agnesian Healthcare Inc
Practice addresses (Care Compare)
608 W Brown St
Waupun, WI 53963-1702
Phone (920) 324-6800
Hospital & facility affiliations
- SSM Health St Agnes Hospital-Fond Du Lac
- Ripon Medical Center
- Waupun Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20111017000594 | WI | Practitioner - Nurse Practitioner | 5092987057 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agnesian Healthcare Inc | Current |
Accepting new patients | |
| Agnesian Healthcare Inc | Current |
Accepting new patients | |
| Agnesian Healthcare, Inc | Current | Accepting new patients |
Locations
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
912 S Hickory St
Fond du Lac, WI 54935
Phone (920) 929-7480
145 N Main St
Fond du Lac, WI 54935
Phone (920) 926-4660
703 W State St
Fox Lake, WI 53933
Phone (920) 926-5840
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
730 N Margaret St
Markesan, WI 53946
Phone (920) 398-2406
360 S Mountin Dr
Mayville, WI 53050
Phone (920) 387-2111
100 Evergreen Rd
Mount Calvary, WI 53057
Phone (920) 753-2311
723 Park Ridge Ln
North Fond du Lac, WI 54937
Phone (920) 926-8600
835 Parkside St
Ripon, WI 54971
Phone (920) 745-3520
790 Eastgate Dr
Ripon, WI 54971
Phone (920) 745-3180
608 W Brown St
Waupun, WI 53963
Phone (920) 324-6800
Interoperability endpoints
- jfelix341859@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4525-33 | WI | Yes |
Addresses
Primary practice location
790 Eastgate Dr
Ripon, WI 54971-9614
Mailing address
420 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 745-3590
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679853535 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfelix341859@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Other providers in Ripon, WI
- Elite Senior Living - Fountain View, LLC
- Patricia Jane Ellis
- Empower Mental Health Counseling & Consulting, S.C.
- Amanda Lynn Etlicher
- Michael Falahat
- Alicia Burnam Felker
- Kelsey Fenske
- Kelly Jo Field
- Bradley E. Foss
- Fox Valley Hematology & Oncology, S.C.
All providers in Ripon, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2020. 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.