JULIE J DEBORD (AGNP) – Gerontology Nurse Practitioner, NPI 1053968024

JULIE J DEBORD (AGNP) is a healthcare provider. based in Muncie, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP. They hold a License No. 71009269A (IN). The NPI Number for JULIE J DEBORD (AGNP) is 1053968024

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JULIE J DEBORD (AGNP)
NPI
1053968024
Phone
(877) 668-5621
Address
1200 W WHITE RIVER BLVD
Enumeration Date
23 August 2019
Last Update Date
4 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7654488000
Graduation Year
2019 (7 years ago)
PAC ID
1456785179
Group Practice PAC ID
0749184380
Professional Enrollment ID
I20200103002182
Address ID
IN479042477LA2600XSTXX300
Telehealth
Yes

Contacts

Secure Messaging
jdebord@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

8,191 NURSE PRACTITIONER in IN

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Provider Addresses for JULIE J DEBORD (AGNP)

  • 1200 W WHITE RIVER BLVD

    MUNCIE, IN 473034988

    Phone: (877) 668-5621

    Type: Mailing

  • Prophetstown Aquatic Center, 5545, Swisher Road, West Lafayette, Tippecanoe County, Indiana, 47906, United States

    LAFAYETTE, IN 479035545

    Phone:

    Type: Mailing

  • 2600, Greenbush Street, Eastwich, Lafayette, Tippecanoe County, Indiana, 47904, United States

    LAFAYETTE, IN 479042477

    Phone: (765) 448-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $712.

Total Amount is formed as General ($712) + Research ($0) + Ownership ($0) = $712.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Inari Medical, Inc. ($644).

Total Amount

$712

General + Research + Ownership

Payments

47

Total payment records

General Amount

$712

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2020-01-03

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
I20200103002182INurse PractitionerINTBD

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 minutes429322$0
99213Established patient office or other outpatient visit, 20-29 minutes122109$0
99212Established patient office or other outpatient visit, 10-19 minutes4240$0
90662Influenza vaccine split virus, preservative free3636$0
G0008Administration of influenza virus vaccine3636$0
View full utilization report →

Insurance plans in this area (ZIP 47303)

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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: 0749184380View full group profile
NameSpecialtyState
-IN
-IN
-KY
Physician AssistantMI
Internal MedicineIN
Occupational Therapist In Private PracticeIN
Internal Medicine, HospitalistIN
Diagnostic Radiology, Interventional RadiologyIN
Interventional RadiologyIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Is JULIE J DEBORD (AGNP) listed with a National Provider Identifier?
Yes — JULIE J DEBORD (AGNP) has NPI 1053968024 on file in the registry.
Would JULIE J DEBORD (AGNP) appear as active to a payer?
You can treat JULIE J DEBORD (AGNP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JULIE J DEBORD (AGNP)?
JULIE J DEBORD (AGNP)'s specialty line reads Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Indiana is JULIE J DEBORD (AGNP) registered?
Use Muncie, Indiana as the headline location for JULIE J DEBORD (AGNP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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