MS. JULIE LEE MCDONALD (PA-C) – Physician Assistant, NPI 1164684866

MS. JULIE LEE MCDONALD (PA-C) is a healthcare provider. based in Long prairie, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10434 (MN). The NPI Number for MS. JULIE LEE MCDONALD (PA-C) is 1164684866

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MS. JULIE LEE MCDONALD (PA-C)
NPI
1164684866
Phone
(320) 732-2141
Address
20 9th St SE
Enumeration Date
25 June 2008
Last Update Date
21 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3207621511
Graduation Year
2008 (18 years ago)
PAC ID
9830266329
Group Practice PAC ID
9931690047
Professional Enrollment ID
I20080925000238
Address ID
MN563085273AL111XXEXXX400

Contacts

Secure Messaging
jmcdonald1209875@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for MS. JULIE LEE MCDONALD (PA-C)

  • 20 9th St SE

    Centracare Health System Long Prairie

    Long Prairie, MN 563471404

    Phone: (320) 732-2141

    Fax: (320) 732-6913

    Type: Location

  • 111 17th Ave E

    Alexandria, MN 563085273

    Phone: (320) 763-5123

    Type: Location

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: COLOPLAST CORP ($45).

Total Amount

$126

General + Research + Ownership

Payments

7

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2008-09-25

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
I20080925000238IPhysician AssistantMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56347)

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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: 9931690047View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Internal MedicineMN
O B S T E T R I C S/ G Y N E C O L O G YMN
H O S P I T A L I S TMN
Emergency MedicineMI
Emergency MedicineMN
Emergency MedicineMN
U R O L O G YMN
Emergency MedicineMN
Orthopedic Surgery, Sports MedicineMN

Reviews

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Frequently asked questions

How do payers reference MS. JULIE LEE MCDONALD (PA-C)?
For MS. JULIE LEE MCDONALD (PA-C), use NPI 1164684866 as the unique 10-digit identifier.
Is there an active status for MS. JULIE LEE MCDONALD (PA-C)?
For scheduling context, MS. JULIE LEE MCDONALD (PA-C) is shown as active in the registry.
How would a patient describe MS. JULIE LEE MCDONALD (PA-C)'s focus?
For MS. JULIE LEE MCDONALD (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Minnesota is MS. JULIE LEE MCDONALD (PA-C) registered?
Use Long Prairie, Minnesota as the headline location for MS. JULIE LEE MCDONALD (PA-C) here.
Can I trust this NPI listing for MS. JULIE LEE MCDONALD (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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