JULIA WAMBOLT (APRN-CNP,CNM,,IBCLC) – Women's Health Nurse Practitioner, NPI 1346951076

JULIA WAMBOLT (APRN-CNP,CNM,,IBCLC) is a healthcare provider. based in Ardmore, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP,CNM,,IBCLC. They hold a License No. R0044894 (OK). The NPI Number for JULIA WAMBOLT (APRN-CNP,CNM,,IBCLC) is 1346951076

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JULIA WAMBOLT (APRN-CNP,CNM,,IBCLC)
NPI
1346951076
Phone
(580) 226-3003
Address
731 12TH AVE NW STE 201
Enumeration Date
13 December 2022
Last Update Date
14 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802206189
Graduation Year
2021 (5 years ago)
PAC ID
0143694554
Group Practice PAC ID
1153468921
Professional Enrollment ID
I20230327002253
Address ID
OK734015763AR731XXNWAV301

Contacts

Secure Messaging
julia.wambolt@mercy.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:3State licenses:2Other namesUpdated within 12 months

3,299 NURSE PRACTITIONER in OK

Provider Addresses for JULIA WAMBOLT (APRN-CNP,CNM,,IBCLC)

  • 731 12TH AVE NW STE 201

    ARDMORE, OK 734015764

    Phone: (580) 226-3003

    Fax: (580) 298-3124

    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 11 Open Payments records for all available years, with a total value of $339.

Total Amount is formed as General ($339) + Research ($0) + Ownership ($0) = $339.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Astellas Pharma US Inc ($155).

Total Amount

$339

General + Research + Ownership

Payments

11

Total payment records

General Amount

$339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

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: 2025-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230327002253INurse PractitionerOKTBD
I20251217001271INurse PractitionerGATBD

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 minutes1716$0
99213Established patient office or other outpatient visit, 20-29 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 73401)

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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: 1153468921View full group profile

Reviews

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Frequently asked questions

Where can patients find JULIA WAMBOLT (APRN-CNP,CNM,,IBCLC)'s NPI?
You can confirm JULIA WAMBOLT (APRN-CNP,CNM,,IBCLC) with NPI 1346951076; it appears in the national provider directory.
Is JULIA WAMBOLT (APRN-CNP,CNM,,IBCLC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JULIA WAMBOLT (APRN-CNP,CNM,,IBCLC)?
The page reflects Women's Health Nurse Practitioner for JULIA WAMBOLT (APRN-CNP,CNM,,IBCLC). Clinical services aligned with this taxonomy classification.
What location metadata exists for JULIA WAMBOLT (APRN-CNP,CNM,,IBCLC)?
The page summarizes Ardmore, Oklahoma for JULIA WAMBOLT (APRN-CNP,CNM,,IBCLC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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