JULIAN HERNANDEZ CARVAJAL (PA-C) – Physician Assistant, NPI 1184177412
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
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Provider Addresses for JULIAN HERNANDEZ CARVAJAL (PA-C)
Rock Island, Box Elder County, Utah, United States
ROCK ISLAND, IL 612044028
Phone: (563) 355-9200
Fax: (563) 355-3419
Type: Mailing
Genesis Medical Center, 1227, East Rusholme Street, Davenport, Scott County, Iowa, 52803, United States
DAVENPORT, IA 528032459
Phone: (563) 421-6610
Fax: (563) 421-7719
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: 2025-12-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160816001360 | I | Physician Assistant | IA | TBD |
| I20230227002973 | I | Physician Assistant | IL | TBD |
| I20230814002047 | I | Physician Assistant | WA | TBD |
| I20240117001398 | I | Physician Assistant | NV | TBD |
| I20241009003556 | I | Physician Assistant | KS | TBD |
| I20250131002783 | I | Physician Assistant | OH | TBD |
| I20250530002084 | I | Physician Assistant | OK | TBD |
| I20251224001263 | I | Physician Assistant | AK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 132 | 130 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 82 | 81 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 76 | 75 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 16 | 16 | $0 |
Insurance plans in this area (ZIP 61204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OK | |
| Nurse Practitioner | LA | |
| Emergency Medicine | OK | |
| Emergency Medicine, Family Practice, Emergency Medicine | IN | |
| Nurse Practitioner | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK | |
| Nurse Practitioner | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine, Family Practice | OK |
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