Individual provider Active NPI

Julie Catherine Leffler, ARNP

  • Family Nurse Practitioner
  • Milwaukie, OR
National Provider Identifier
1750855425
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202010863NP-PP Issued in OR
Practice address
6542 SE Lake Rd Ste 202
Milwaukie, OR 97222-2245
Phone
(503) 233-5273
Fax
(855) 492-8902
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 202010863NP OR
Family Nurse Practitioner 363LF0000X 202010863NP-PP OR Primary

Addresses

Primary practice location

6542 SE Lake Rd Ste 202
Milwaukie, OR 97222-2245

Mailing address

6542 SE Lake Rd Ste 202
Milwaukie, OR 97222-2245
Phone (503) 233-5273

Other identifiers 1

IdentifierTypeStateIssuer
500790033MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20210726000873 OR Practitioner - Nurse Practitioner 8022423318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Family Practice LLCGroup PAC ID 0244619351, 2 clinicians

Practice addresses (Care Compare)

6542 SE Lake Rd
Suite 202
Milwaukie, OR 97222-2245
Phone (503) 233-5273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202010863NPORMDNurse Practitioner
202010863NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Family Practice LLC CurrentSince May 1, 2022 Accepting new patients

Locations

6542 SE Lake Rd
Ste 202
Portland, OR 97222
Phone (503) 233-5273

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1750855425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 SE LAKE RD STE 202",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222245",
            "telephone_number": "503-233-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 SE LAKE RD STE 202",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222245",
            "telephone_number": "503-233-5273",
            "fax_number": "855-492-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFFLER",
        "first_name": "JULIE",
        "middle_name": "CATHERINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202010863NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202010863NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500790033",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.