JULIE NICOLE ANDERSON (PA-C) – Physician Assistant, NPI 1073043972

JULIE NICOLE ANDERSON (PA-C) is a healthcare provider. based in Fresno, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 54616 (CA). The NPI Number for JULIE NICOLE ANDERSON (PA-C) is 1073043972

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JULIE NICOLE ANDERSON (PA-C)
NPI
1073043972
Phone
(559) 443-2682
Address
2625 E DIVISADERO ST
Enumeration Date
14 June 2017
Last Update Date
9 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7197765333
Graduation Year
2017 (9 years ago)
PAC ID
0345516282
Group Practice PAC ID
9133498074
Professional Enrollment ID
I20200519001501
Address ID
CO809076794CO2222XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for JULIE NICOLE ANDERSON (PA-C)

  • 2625, Divisadero Street, Fresno, Fresno County, California, 93721, United States

    FRESNO, CA 937211431

    Phone: (559) 443-2682

    Fax: (559) 443-2681

    Type: Mailing

  • Community Regional Medical Center, 2823, Fresno Street, Fresno, Fresno County, California, 93721, United States

    FRESNO, CA 937211324

    Phone: (559) 499-6440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-05-19

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
I20200519001501IPhysician AssistantCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making7272$0
99284Emergency department visit with moderate level of medical decision making6161$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3737$0
99238Hospital discharge day management, 30 minutes or less3232$0
99291Critical care, first 30-74 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 93721)

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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: 9133498074View full group profile
NameSpecialtyState
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Internal MedicineLA
-CO
Emergency Medicine, Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep Medicine, Internal MedicineNY
-TX
Physician AssistantTX
-CO
Physician AssistantIA
Physician AssistantNV
-NM
Internal Medicine, Critical Care (Intensivists), Hospitalist, Internal MedicineMD

Reviews

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Frequently asked questions

What unique ID ties claims to JULIE NICOLE ANDERSON (PA-C)?
NPI 1073043972 is assigned to JULIE NICOLE ANDERSON (PA-C) under the national enumeration system.
Does this profile mean JULIE NICOLE ANDERSON (PA-C) is currently active?
Yes — JULIE NICOLE ANDERSON (PA-C) appears active in the national provider directory.
Does JULIE NICOLE ANDERSON (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for JULIE NICOLE ANDERSON (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for JULIE NICOLE ANDERSON (PA-C)?
We surface Fresno, California for JULIE NICOLE ANDERSON (PA-C) based on available NPPES addresses.
What if Fresno, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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