MRS. JULIE A LAUTENBACH (PA-C) – Physician Assistant, NPI 1518930338
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
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Provider Addresses for MRS. JULIE A LAUTENBACH (PA-C)
Pella Medical Clinic, 405, Monroe Street, Pella, Marion County, Iowa, 50219, United States
PELLA, IA 502191189
Phone: (641) 628-3832
Fax: (641) 621-2335
Mailing address matches the actual address.
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 $726.
Total Amount is formed as General ($726) + Research ($0) + Ownership ($0) = $726.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($624).
Total Amount
$726
General + Research + Ownership
Payments
9
Total payment records
General Amount
$726
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $624 |
| Prism Medical | $41 |
| Endo USA, Inc. | $31 |
| Vericel Corporation | $16 |
| DePuy Synthes Sales Inc. | $14 |
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: 2004-03-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040302001144 | I | Physician Assistant | IA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50219)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| - | IA | |
| Family Practice, Sports Medicine | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Family Practice | IA | |
| Nurse Practitioner | IA | |
| Family Practice, Obstetrics/Gynecology | IA | |
| Nurse Practitioner | IA | |
| Internal Medicine, Hospitalist | IN | |
| Family Practice | IA |
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