NPIMap

Individual provider Active NPI

Julie Diane Mueller, PA-C

  • Medical Physician Assistant
  • Anchorage, AK
National Provider Identifier
1831205665
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PADA685 Issued in AK
Practice address
4320 Diplomacy Dr
Anchorage, AK 99508-5925
Phone
(907) 729-7408
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 685 AK
Physician Assistant 363A00000X 1652 AK
Medical Physician Assistant 363AM0700X PADA685 AK Primary

Addresses

Primary practice location

4320 Diplomacy Dr
Anchorage, AK 99508-5925

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (077) 297-4089

Other practice location 1

436 5th & Ted Stevens Way
Kotzebue, AK 99752-0043
Phone (907) 442-3321

Other identifiers 2

IdentifierTypeStateIssuer
HS19IPMedicaidAK
HS19OPMedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050729000428 TX Practitioner - Physician Assistant 8527096759 Reassigns benefits to 2 organizations
I20080606000426 WY Practitioner - Physician Assistant 8527096759

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcentral FoundationGroup PAC ID 5496663627, 168 clinicians

Practice addresses (Care Compare)

1 Flight Line Rd
Port Alsworth, AK 99653-9801
Phone (907) 729-6799

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
685AKMDPharmacist
1652AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation CurrentSince Aug 1, 2020 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation CurrentSince Aug 1, 2020 Accepting new patients
Southcentral Foundation Current Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Aug 1, 2020 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Past Accepting new patients
Southcentral Foundation Past Accepting new patients

Locations

1021 E 3rd Ave
Anchorage, AK 99501
Phone (907) 729-6342

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

225 Eagle St
Anchorage, AK 99501
Phone (907) 729-6550

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

6901 E Tudor Rd
Ste 8
Anchorage, AK 99507
Phone (907) 729-6500

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

4330 Elmore Rd
Anchorage, AK 99508
Phone (907) 729-6690

755 A St
Anchorage, AK 99501
Phone (907) 272-1255

26341 Eklutna Village Rd
Chugiak, AK 99567
Phone (907) 688-6031

1 Flight Line Rd
Port Alsworth, AK 99653
Phone (907) 781-2256

Organizations & group practices 11

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1831205665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071262",
            "telephone_number": "077-297-4089",
            "fax_number": "907-729-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 DIPLOMACY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085925",
            "telephone_number": "907-729-7408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 5th & Ted Stevens Way",
            "address_purpose": "LOCATION",
            "city": "Kotzebue",
            "state": "AK",
            "postal_code": "997520043",
            "country_code": "US",
            "telephone_number": "907-442-3321",
            "fax_number": "907-442-7250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "JULIE",
        "middle_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "685",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "1652",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "PADA685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HS19IP",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HS19OP",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.