Julia W Fields, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Leavenworth, KS
NPI 1821688136 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1821688136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 53-79904-041 (KS)
- Practice address
- 1013 Pottawatomie St
Leavenworth, KS 66048-1764 - Phone
- (405) 474-7420
- NPI assigned
- Jan 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alive Family Psychiatry
Practice addresses (Care Compare)
3515 S 4TH St
Suite 102
Leavenworth, KS 66048-5079
Phone (816) 845-8550
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- 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 |
|---|---|---|---|---|
| I20240402002045 | KS | Practitioner - Nurse Practitioner | 8224476833 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-79904-041 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alive Family Psychiatry LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Alive Family Psychiatry | Psychiatric/Mental Health | Current |
Accepting new patients |
| Alive Family Psychiatry LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
3515 S 4th St
Ste 102
Leavenworth, KS 66048
Phone (816) 845-8550
380 Limit St
Leavenworth, KS 66048
Phone (816) 845-8550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-79904-041 | KS | Yes |
Addresses
Primary practice location
1013 Pottawatomie St
Leavenworth, KS 66048-1764
Mailing address
1013 Pottawatomie St
Leavenworth, KS 66048-1764
Phone (405) 474-7420
Other providers in Leavenworth, KS
- Brandy Jo Falconer
- Nina Bernadette Farrar
- Brittney Farrell
- Alicia Fender
- Patrice M Ferrell
- Christopher Todd Filley
- Kala Finney
- Connie Fire
- First City Dental Care
- First City of Kansas Emergency Physicians
All providers in Leavenworth, KS · Psychiatric/Mental Health Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. 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.