Individual provider Active NPI

Julie Ann Archer, M.D.

  • Internal Medicine Physician
  • Chico, CA
National Provider Identifier
1962409573
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G68085 Issued in CA
Practice address
1645 Esplanade
Ste # 1
Chico, CA 95926-3312
Phone
(530) 896-0386
Fax
(530) 896-0389
NPI assigned
Jun 29, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G68085 CA Primary

Addresses

Primary practice location

1645 Esplanade
Ste # 1
Chico, CA 95926-3312

Mailing address

1645 Esplanade
Ste # 1
Chico, CA 95926-3312
Phone (530) 896-0386

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912001053 CA Practitioner - Internal Medicine 6709819600 Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Ohio, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1645 Esplanade
Suite 1
Chico, CA 95926-3367
Phone (530) 896-0386

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.86 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68085CAMDPharmacist
G68085CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Primary Physicians Medical Group a Medical Corporation Past Accepting new patients
David Alonso, MD Inc Internal Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26590/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jarcher15155@enloedirect.org

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962409573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 ESPLANADE",
            "address_2": "STE # 1",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263312",
            "telephone_number": "530-896-0386",
            "fax_number": "530-896-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 ESPLANADE",
            "address_2": "STE # 1",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263312",
            "telephone_number": "530-896-0386",
            "fax_number": "530-896-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G68085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.