JULIE HIMSTEDT (PA) – Medical Physician Assistant, NPI 1558512996

JULIE HIMSTEDT (PA) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 10673585-1206 (UT). The NPI Number for JULIE HIMSTEDT (PA) is 1558512996

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
JULIE HIMSTEDT (PA)
NPI
1558512996
Phone
(720) 244-6419
Address
1379 S 800 E
Enumeration Date
3 October 2008
Last Update Date
16 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8014831600
Graduation Year
2008 (18 years ago)
PAC ID
2769446707
Group Practice PAC ID
2365345741
Professional Enrollment ID
I20180619003252
Address ID
UT841062522SA1208X3300300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

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Provider Addresses for JULIE HIMSTEDT (PA)

  • 1379, 800 East, East Liberty Park, Salt Lake City, Salt Lake County, Utah, 84105, United States

    SALT LAKE CITY, UT 841052249

    Phone: (720) 244-6419

    Type: Mailing

  • 1208, 3300 South, Millcreek, Salt Lake County, Utah, 84106, United States

    SALT LAKE CITY, UT 841062522

    Phone: (801) 483-1600

    Fax: (801) 483-1610

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $735.

Total Amount is formed as General ($735) + Research ($0) + Ownership ($0) = $735.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($174).

Total Amount

$735

General + Research + Ownership

Payments

32

Total payment records

General Amount

$735

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2018-06-19

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
I20180619003252IPhysician AssistantUTTBD

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 84105)

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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: 2365345741View full group profile
NameSpecialtyState
P S Y C H I A T R YUT
Clinical Social WorkerUT
Clinical Social WorkerUT
P S Y C H I A T R YUT
Nurse PractitionerUT
Nurse PractitionerUT
Clinical Social WorkerUT
Nurse PractitionerUT
Clinical Social WorkerUT
-UT

Reviews

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Frequently asked questions

What is the 10-digit NPI for JULIE HIMSTEDT (PA)?
JULIE HIMSTEDT (PA) — NPI 1558512996 — is the standard way to identify this listing.
Does CMS list JULIE HIMSTEDT (PA) as active?
Yes — JULIE HIMSTEDT (PA) is active in the NPI listing used on this page.
What is JULIE HIMSTEDT (PA) best known for clinically?
Directory data describes JULIE HIMSTEDT (PA) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does JULIE HIMSTEDT (PA) serve?
JULIE HIMSTEDT (PA)'s listing highlights Salt Lake City, Utah; more addresses can appear in NPPES.
Is the information about JULIE HIMSTEDT (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."