JULIE A ANDERSON (PA-C) – Surgical Physician Assistant, NPI 1114990447
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for JULIE A ANDERSON (PA-C)
100 MICHIGAN ST NE, MC 103
SUITE 8830
Grand Rapids, MI 495032560
Phone: (616) 459-7258
Fax: (616) 459-5215
Type: Location
US Post Office - North Muskegon, 404, Center Street, North Muskegon, Muskegon County, Michigan, 49445, United States
MUSKEGON, MI 494431847
Phone: (231) 727-4444
Fax: (231) 728-4789
Type: Mailing
1560 E SHERMAN BLVD STE 309
MUSKEGON, MI 494441850
Phone: (231) 672-8643
Fax: (231) 672-8651
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2004-06-18
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 |
|---|---|---|---|---|
| I20040618000658 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 33508 | Harvest of vein using an endoscope | 14 | 14 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 13 | 13 | $0 |
Insurance plans in this area (ZIP 49503)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Sleep Medicine, Internal Medicine | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Thoracic Surgery, General Surgery | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| Pulmonary Disease, Internal Medicine | MI | |
| Pulmonary Disease, Sleep Medicine | MI | |
| - | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.