Julie Podell Lena, PA-C
Individual provider Active NPI Physician Assistant · North Judson, IN
NPI 1942569348 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1942569348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110003816
- Practice address
- 414 Lane Street
North Judson, IN 46366-3212 - Phone
- (574) 896-4325
- NPI assigned
- May 7, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pulaski Memorial Hospital
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
- Pulaski Memorial Hospital
- Northwest Health-la Porte
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20230623001985 | IN | Practitioner - Physician Assistant | 7719106640 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 | |
| Pulaski Memorial Hospital | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110003816 | Yes |
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
Other providers in North Judson, IN
- Hoffer & Sons Inc
- Hook-Superx LLC
- Integrity Power Mobility, LLC
- La Porte Regional Physician Network
- La Porte Regional Physician Network
- Sidnee Rae Majchrzak
- Med One Mobile
- Med One Mobile LLC
- North Judson-San Pierre School Corporation
- Northernwinds Inc
All providers in North Judson, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. 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.