JULIE WIEDMAN – Medical Physician Assistant, NPI 1285062919

JULIE WIEDMAN is a healthcare provider. based in Winter park, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9107571 (FL). The NPI Number for JULIE WIEDMAN is 1285062919

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JULIE WIEDMAN
NPI
1285062919
Phone
Not provided
Address
700 MELROSE AVE
Enumeration Date
15 October 2013
Last Update Date
4 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078467546
Graduation Year
2013 (13 years ago)
PAC ID
4183846207
Group Practice PAC ID
1355334863
Professional Enrollment ID
I20150904001683
Address ID
FL347474970CE400XXPLXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JULIE WIEDMAN

  • 700 MELROSE AVE

    K23

    WINTER PARK, FL 327895666

    Phone:

    Type: Mailing

  • 13770 Plantation Rd # 103

    Fort Myers, FL 339124460

    Phone: (941) 444-0011

    Fax: (603) 952-3900

    Type: Location

  • 1131 S Orange Ave

    Orlando, FL 328061226

    Phone: (941) 444-0011

    Fax: (603) 952-3900

    Type: Location

  • 4745 RIVER GEM AVE

    WINDERMERE, FL 347863176

    Phone: (407) 617-1177

    Type: Mailing

  • 1900 N MILLS AVE

    ORLANDO, FL 328031444

    Phone: (407) 894-4880

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $681.

Total Amount is formed as General ($681) + Research ($0) + Ownership ($0) = $681.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($198).

Total Amount

$681

General + Research + Ownership

Payments

21

Total payment records

General Amount

$681

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-09-04

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
I20150904001683IPhysician AssistantFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 32789)

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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: 1355334863View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
Physician AssistantFL
-FL
Physician AssistantFL
Physician AssistantFL
-FL
Physician AssistantFL

Reviews

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Frequently asked questions

How is JULIE WIEDMAN identified in CMS data?
CMS-hosted NPPES data lists JULIE WIEDMAN with NPI 1285062919.
Does CMS list JULIE WIEDMAN as active?
Yes — JULIE WIEDMAN is active in the NPI listing used on this page.
What taxonomy line describes JULIE WIEDMAN?
For research purposes, treat JULIE WIEDMAN as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does JULIE WIEDMAN serve?
JULIE WIEDMAN's listing highlights Winter Park, Florida; more addresses can appear in NPPES.
Why does JULIE WIEDMAN have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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