JULIE DUTTON (NP) – Gerontology Nurse Practitioner, NPI 1013136423

JULIE DUTTON (NP) is a healthcare provider. based in Cerritos, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 455229 (CA). The NPI Number for JULIE DUTTON (NP) is 1013136423

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
JULIE DUTTON (NP)
NPI
1013136423
Phone
(562) 977-4639
Address
12900 PARK PLAZA DR STE 150
Enumeration Date
24 April 2007
Last Update Date
30 August 2019

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
8554347763
Graduation Year
2002 (24 years ago)
PAC ID
3971669847
Group Practice PAC ID
6103044078
Professional Enrollment ID
I20090227000435
Address ID
CA92707XXXXSAXXXXXXXXXX00
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

Provider Addresses for JULIE DUTTON (NP)

  • 12900 PARK PLAZA DR STE 150

    CERRITOS, CA 907039329

    Phone: (562) 977-4639

    Fax: (562) 741-4479

    Type: Mailing

  • 4855 ATHERTON AVE STE 101

    SAN JOSE, CA 951301026

    Phone: (408) 963-2400

    Fax: (408) 963-2472

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $1,014.

Total Amount is formed as General ($1,014) + Research ($0) + Ownership ($0) = $1,014.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($125).

Total Amount

$1,014

General + Research + Ownership

Payments

9

Total payment records

General Amount

$1,014

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090227000435INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103044078View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
-CA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What NPI should I save for JULIE DUTTON (NP)?
Save NPI 1013136423 if you need a stable reference for JULIE DUTTON (NP).
Is JULIE DUTTON (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize JULIE DUTTON (NP)'s specialty in plain language?
Clinically, the directory lists JULIE DUTTON (NP) with Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JULIE DUTTON (NP)'s primary listing?
We display Cerritos, California because that is what the record indicates for JULIE DUTTON (NP).
Is JULIE DUTTON (NP) a real provider?
This page reflects official NPPES data for NPI 1013136423. Always confirm identity and privileges with the practice and licensing boards.

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