JULIE A SMITH (FNP) – Family Nurse Practitioner, NPI 1063493674

JULIE A SMITH (FNP) is a healthcare provider. based in La crosse, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2120 (WI). The NPI Number for JULIE A SMITH (FNP) is 1063493674

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
JULIE A SMITH (FNP)
NPI
1063493674
Phone
Not provided
Address
1836 SOUTH AVE
Enumeration Date
10 November 2005
Last Update Date
10 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087827300
Graduation Year
2002 (24 years ago)
PAC ID
6800786161
Group Practice PAC ID
2163331414
Professional Enrollment ID
I20040318001686
Address ID
WI546508447ON3111XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,066 NURSE PRACTITIONER in WI

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Provider Addresses for JULIE A SMITH (FNP)

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone:

    Type: Mailing

  • 800 West Ave S

    La Crosse, WI 546018806

    Phone: (608) 791-9891

    Fax: (608) 791-9834

    Type: Location

  • 191 Theater Rd

    Onalaska, WI 54650

    Phone: (608) 785-0940

    Type: Location

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: 2004-03-18

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
I20040318001686INurse PractitionerWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7776$0
99214Established patient office or other outpatient visit, 30-39 minutes4242$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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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: 2163331414View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Anesthesiology AssistantWI
-WI
-WI
General SurgeryWI
A N E S T H E S I O L O G YWI
Certified Registered Nurse Anesthetist (Crna)WI
Internal MedicineIA
Mental Health CounselorWI

Reviews

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Frequently asked questions

Does JULIE A SMITH (FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JULIE A SMITH (FNP) uses 1063493674.
Can I rely on JULIE A SMITH (FNP) being an active provider?
As of the registry snapshot, JULIE A SMITH (FNP) is marked active.
What is JULIE A SMITH (FNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for JULIE A SMITH (FNP) here. Clinical services aligned with this taxonomy classification.
What area does JULIE A SMITH (FNP) serve?
JULIE A SMITH (FNP)'s listing highlights La Crosse, Wisconsin; more addresses can appear in NPPES.
Is the information about JULIE A SMITH (FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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