Individual provider Active NPI

Julie Ann Sidelinger, PA-C

  • Physician Assistant
  • Ypsilanti, MI
National Provider Identifier
1912968017
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004659 Issued in MI
Practice address
5325 Elliott Dr
Suite 102
Ypsilanti, MI 48197-8633
Phone
(734) 712-7289
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004659 MI Primary

Addresses

Primary practice location

5325 Elliott Dr
Suite 102
Ypsilanti, MI 48197-8633

Mailing address

9299 Parkland Dr
Ypsilanti, MI 48197-1778
Phone (734) 480-0524

Other practice location 1

1010 W North Down River Rd
Grayling, MI 49738-2060
Phone (989) 348-0800

Other practice location 2

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 417-6090

Other practice location 3

14695 Park Ave Ste A
Charlevoix, MI 49720-1920
Phone (231) 547-2812

Other practice location 4

2147 Professional Dr
Gaylord, MI 49735-0003
Phone (989) 732-1753

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
I20060919000085 MI Practitioner - Physician Assistant 2466457890 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians
Northsport Physical Therapy and Rehabilitation P CGroup PAC ID 5294902508, shared by 2 NPIs, 43 clinicians

Practice addresses (Care Compare)

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-0594

1250 E Michigan Ave
Grayling Community Health Center
Grayling, MI 49738-7074
Phone (989) 348-0550

1250 E Michigan Ave C
Munson Audiology Grayling
Grayling, MI 49738-7074
Phone (231) 935-6455

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 935-0338

1622 Dickerson Rd
Gaylord, MI 49735-9206

2147 Professional Dr
Gaylord, MI 49735-0003
Phone (989) 732-1753

829 N Ctr Ave
MHC Omh Medical Group
Gaylord, MI 49735-1595
Phone (989) 731-7708

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Sep 1, 2025 Accepting new patients
St Joseph Mercy Hospital CurrentSince Nov 5, 2005 Accepting new patients
Saint Joseph Mercy Livingston Hospital CurrentSince Dec 15, 2018 Accepting new patients
St Joseph Mercy Hospital Physician Assistant CurrentSince Nov 5, 2005 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Sep 1, 2025 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Munson Healthcare Charlevoix Hospital Past Accepting new patients
Munson Healthcare Otsego Memorial Hospital Past Accepting new patients
Munson Healthcare Grayling Past Accepting new patients

Locations

14651 W Upright St
Charlevoix, MI 49720
Phone (231) 547-4477

14695 Park Ave
Ste A
Charlevoix, MI 49720
Phone (231) 547-2812

34505 W 12 Mile Rd
Ste 200
Farmington Hills, MI 48331
Phone (734) 343-3922

2147 Professional Dr
Gaylord, MI 49735
Phone (989) 732-1400

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

1619 Anderson Rd
Petoskey, MI 49770
Phone (231) 417-6000

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

5325 Elliott Dr
Ste 102
Ypsilanti, MI 48197
Phone (734) 712-3888

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1912968017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9299 PARKLAND DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971778",
            "telephone_number": "734-480-0524",
            "fax_number": "734-480-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 ELLIOTT DR",
            "address_2": "SUITE 102",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978633",
            "telephone_number": "734-712-7289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 W North Down River Rd",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497382060",
            "country_code": "US",
            "telephone_number": "989-348-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 Anderson Rd",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497709256",
            "country_code": "US",
            "telephone_number": "231-417-6090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14695 Park Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201920",
            "country_code": "US",
            "telephone_number": "231-547-2812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2147 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497350003",
            "country_code": "US",
            "telephone_number": "989-732-1753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDELINGER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.