Individual provider Active NPI

Julie Ann Olechnowicz, MSN NP C

  • Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1730151978
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
JF229369 Issued in MI
Practice address
2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone
(877) 227-8823
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X JF229369 MI Primary

Addresses

Primary practice location

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944

Mailing address

932 N Mitchell St
Cadillac, MI 49601-1285
Phone (313) 497-1782

Other practice location 1

932 N Mitchell St
Cadillac, MI 49601-1285
Phone (313) 497-1782

Other practice location 2

5177 W US Highway 10 Ste B
Ludington, MI 49431-7620
Phone (231) 349-7178

Other identifiers 2

IdentifierTypeStateIssuer
4949241MedicaidMI
4949232MedicaidMI

Other names 1

  • Julie Ann Fagerlie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060112000342 MI Practitioner - Nurse Practitioner 6204859531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Northstar Palliative Care IncGroup PAC ID 6800148677, 26 clinicians

Practice addresses (Care Compare)

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone (877) 227-8823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
JF229369MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Palliative Care Inc CurrentSince Mar 1, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince May 12, 2024 Accepting new patients

Locations

2366 Oak Valley Dr
Ann Arbor, MI 48103
Phone (734) 662-5999

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1730151978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 N MITCHELL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011285",
            "telephone_number": "313-497-1782",
            "fax_number": "833-523-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 OAK VALLEY DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038944",
            "telephone_number": "877-227-8823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 N Mitchell St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496011285",
            "country_code": "US",
            "telephone_number": "313-497-1782",
            "fax_number": "833-523-5032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5177 W US Highway 10 Ste B",
            "address_purpose": "LOCATION",
            "city": "Ludington",
            "state": "MI",
            "postal_code": "494317620",
            "country_code": "US",
            "telephone_number": "231-349-7178",
            "fax_number": "833-523-5032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLECHNOWICZ",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSN NP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "JF229369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4949241",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4949232",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "FAGERLIE",
            "middle_name": "ANN",
            "credential": "MSN NP C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.