Active NPI
Julie Podell Lena, PA-C
- Physician Assistant
- North Judson, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110003816
- Practice address
- 414 Lane Street
North Judson, IN 46366-3212 - Phone
- (574) 896-4325
- NPI assigned
- May 7, 2012
- Last updated
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110003816 | Primary |
Addresses
Primary practice location
414 Lane Street
North Judson, IN 46366-3212
Mailing address
PO Box 279
Winamac, IN 46996-0279
Phone (574) 946-2147
Other practice location 1
602 Brandon Ave SW
Roanoke, VA 24015-3212
Phone (540) 774-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
414 Lane St
North Judson, IN 46366-1226
Phone (574) 896-4325
540 Hospital Dr
Winamac, IN 46996-1173
Phone (574) 946-2194
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulaski Memorial Hospital | Current | Accepting new patients | |
| Pulaski Memorial Hospital | Current | Accepting new patients | |
| Blue Ridge Healthcare Partners, LLC | Past | Accepting new patients |
Locations
232 S Main St
Ste A
Culver, IN 46511
Phone (574) 335-7780
2 S Pearl St
Knox, IN 46534
Phone (574) 207-5050
414 Lane St
North Judson, IN 46366
Phone (574) 896-2257
540 Hospital Dr
Winamac, IN 46996
Phone (574) 935-4327
616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Winamac, IN
- NPI 1740403419
-
dba Healthwin Health & Rehabilitation
- Skilled Nursing Facility
- South Bend, IN
- NPI 1093750119
-
dba Pulaski Memorial Hospital Francesville Family Medicine
- Rural Health Clinic/Center
- Francesville, IN
- NPI 1245710086
-
- Primary Care Clinic/Center
- Roanoke, VA
- NPI 1518304955
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Health-La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
-
- Critical Access Hospital
- Winamac, IN
- NPI 1306928213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1942569348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 279",
"city": "WINAMAC",
"state": "IN",
"postal_code": "469960279",
"telephone_number": "574-946-2147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 LANE STREET",
"city": "NORTH JUDSON",
"state": "IN",
"postal_code": "463663212",
"telephone_number": "574-896-4325"
}
],
"practiceLocations": [
{
"address_1": "602 Brandon Ave SW",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240153212",
"country_code": "US",
"telephone_number": "540-774-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENA",
"first_name": "JULIE",
"middle_name": "PODELL",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-07",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": "0110003816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Judson, IN
- Hoffer & Sons Inc (Absolute Best Care EMS)
- Hook-Superx LLC (CVS Pharmacy #06543)
- Integrity Power Mobility, LLC
- La Porte Regional Physician Network (Dalphond Clinic)
- La Porte Regional Physician Network (Family Health Specialists PC)
- Sidnee Rae Majchrzak, MSN, FNP-C
- Med One Mobile
- Med One Mobile LLC
- North Judson-San Pierre School Corporation
- Northernwinds Inc (Kountry Kare EMS)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.