JULIE ELLEN VANDERKLISH (N.P.) – Adult Health Nurse Practitioner, NPI 1306937115

JULIE ELLEN VANDERKLISH (N.P.) is a healthcare provider. based in Newton, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 207359 (MA). The NPI Number for JULIE ELLEN VANDERKLISH (N.P.) is 1306937115

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JULIE ELLEN VANDERKLISH (N.P.)
NPI
1306937115
Phone
(617) 658-6000
Address
2014 WASHINGTON ST
Enumeration Date
27 September 2006
Last Update Date
18 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177262000
Graduation Year
1999 (27 years ago)
PAC ID
6608788740
Group Practice PAC ID
6507803806
Professional Enrollment ID
I20031105000621
Address ID
MA021142621BO55XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,049 NURSE PRACTITIONER in MA

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Provider Addresses for JULIE ELLEN VANDERKLISH (N.P.)

  • Newton-Wellesley Hospital, 2014, Washington Street, Newton Lower Falls, Newton, Middlesex County, Massachusetts, 02462, United States

    NEW ENGLAND HEMATOLOGY ONCOLOGY ASSOC

    NEWTON, MA 024621607

    Phone: (617) 658-6000

    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)

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: 2003-11-05

PECOS data refreshed: 2026-06-15

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
I20031105000621INurse PractitionerMATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes6537$0
99214Established patient office or other outpatient visit, 30-39 minutes5928$0
View full utilization report →

Insurance plans in this area (ZIP 02462)

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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: 6507803806View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Clinical PsychologistMA
P S Y C H I A T R YMA
Internal MedicineMA
Internal MedicineMA
-MA
-MA
Anesthesiology, Pain ManagementMA
-MA
P S Y C H I A T R YMA

Reviews

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Frequently asked questions

What federal number belongs to JULIE ELLEN VANDERKLISH (N.P.)?
The federal identifier for JULIE ELLEN VANDERKLISH (N.P.) is NPI 1306937115.
Does this profile mean JULIE ELLEN VANDERKLISH (N.P.) is currently active?
Yes — JULIE ELLEN VANDERKLISH (N.P.) appears active in the national provider directory.
What kind of provider is JULIE ELLEN VANDERKLISH (N.P.)?
The page reflects Adult Health Nurse Practitioner for JULIE ELLEN VANDERKLISH (N.P.). Clinical services aligned with this taxonomy classification.
What location metadata exists for JULIE ELLEN VANDERKLISH (N.P.)?
The page summarizes Newton, Massachusetts for JULIE ELLEN VANDERKLISH (N.P.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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