Julie Letsen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110003837 Issued in VA

Practice address

493 Blackwell Rd
Suite 202
Warrenton, VA 20186-2639

Phone

(540) 347-4400

Fax

(540) 341-8610

NPI assigned

Jun 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Semler Dermatology IncGroup PAC ID 4587633110, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Semler Dermatology, Inc

  • Dermatology Physician
  • Lansdowne, VA
  • NPI 1093868820
  Medicare reassignment Care Compare group
• Piedmont Family Practice, PLC

  • Specialist
  • Warrenton, VA
  • NPI 1811107097
  Medicare reassignment
• Galaria Plastic Surgery & Dermatology

  • Multi-Specialty Clinic/Center
  • Chantilly, VA
  • NPI 1881052165
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1881956282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224021460",
            "telephone_number": "540-786-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD",
            "address_2": "SUITE 202",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862639",
            "telephone_number": "540-347-4400",
            "fax_number": "540-341-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETSEN",
        "first_name": "JULIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881956282",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jae Y. Lee, M.D.
• Logan Lee, PT, DPT
• Legacy Vision Center
• Heather Joy Leitenberger, OTR/L
• Analisse Letoile
• Lifelove in Home Services, LLC
• Lifestyle Physicians LLC
• Michael T Lin, M.D.
• Robert T. Lin, MD
• Kimberly Lincoln

• Medical Physician Assistant in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.