Individual provider Active NPI

Julia Magdici, FNP-C

  • Family Nurse Practitioner
  • Bolivar, MO
National Provider Identifier
1720569924
Registry record updated Jan 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022041564 Issued in MO
Practice address
1155 W Parkview St
Bolivar, MO 65613-7801
Phone
(417) 328-7000
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022041564 MO Primary

Addresses

Primary practice location

1155 W Parkview St
Bolivar, MO 65613-7801

Mailing address

1155 W Parkview St
Bolivar, MO 65613-7801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230111000476 MO Practitioner - Nurse Practitioner 2264786151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizens Memorial HealthcareGroup PAC ID 4183528169, 144 clinicians

Practice addresses (Care Compare)

Bolivar, MO 65613
Phone (417) 328-6631

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis OB GYN PLLC CurrentSince Dec 1, 2024 Accepting new patients
Citizens Memorial Healthcare CurrentSince Dec 1, 2022 Accepting new patients
Citizens Memorial Healthcare CurrentSince Dec 1, 2022 Accepting new patients

Locations

1005 Division St
Prescott, AZ 86301
Phone (520) 776-8428

3262 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 759-5800

1155 W Parkview St
Bolivar, MO 65613
Phone (417) 326-6000

1155 W Parkview St
Ste 2J
Bolivar, MO 65613
Phone (417) 328-7000

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768089600000",
    "number": "1720569924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 W PARKVIEW ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656137801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 W PARKVIEW ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656137801",
            "telephone_number": "417-328-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDICI",
        "first_name": "JULIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2026-01-11",
        "certification_date": "2026-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022041564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, MO

Sources for this page

Verify at the official NPI Registry.