JULIE ANNE ANDERSSON (PA) – Physician Assistant, NPI 1245396852

JULIE ANNE ANDERSSON (PA) is a healthcare provider. based in Grantsburg, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1587 (WI). The NPI Number for JULIE ANNE ANDERSSON (PA) is 1245396852

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JULIE ANNE ANDERSSON (PA)
NPI
1245396852
Phone
(715) 463-5353
Address
257 W Saint George Ave
Enumeration Date
28 December 2006
Last Update Date
23 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
7634003628
Graduation Year
2011 (15 years ago)
PAC ID
6002910395
Group Practice PAC ID
6507234820
Professional Enrollment ID
I20150420001822
Address ID
MN554293104CR5200XNXXX400
Telehealth
Yes

Contacts

Secure Messaging
julie.andersson.1@31254.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for JULIE ANNE ANDERSSON (PA)

  • 257 W Saint George Ave

    Grantsburg, WI 548407827

    Phone: (715) 463-5353

    Fax: (715) 463-2423

    Type: Location

  • Burnett General Hospital, 257, West Saint George Avenue, Grantsburg, Burnett County, Wisconsin, 54840, United States

    GRANTSBURG, WI 548407827

    Phone: (715) 463-5353

    Fax: (715) 463-2423

    Type: Location

  • 2881 210TH ST

    LUCK, WI 548533415

    Phone: (715) 648-5161

    Fax: (715) 463-2423

    Type: Mailing

  • 57425 FAWN AVE

    PINE CITY, MN 550639070

    Phone: (122) 209-7426

    Type: Mailing

  • 2401 FAIRVIEW AVE N STE 145

    ROSEVILLE, MN 551132710

    Phone: (888) 290-1209

    Fax: (833) 973-3529

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Genentech USA, Inc. ($46).

Total Amount

$46

General + Research + Ownership

Payments

1

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Genentech USA, Inc.$46
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: 2015-04-20

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
I20070326000443IPhysician AssistantWITBD
I20150420001822IPhysician 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 54840)

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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: 6507234820View full group profile
NameSpecialtyState
Physician AssistantMN
Clinical Social WorkerIL
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Family PracticeMN
Nurse PractitionerMN
Family PracticeMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Can I verify JULIE ANNE ANDERSSON (PA) with an NPI only?
You can start verification with NPI 1245396852 for JULIE ANNE ANDERSSON (PA), then check state licensing separately.
Does the file indicate JULIE ANNE ANDERSSON (PA) is practicing under active NPI?
Directory data currently reports JULIE ANNE ANDERSSON (PA) as active.
What is JULIE ANNE ANDERSSON (PA) best known for clinically?
Directory data describes JULIE ANNE ANDERSSON (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is JULIE ANNE ANDERSSON (PA) based?
JULIE ANNE ANDERSSON (PA) is tied to Grantsburg, Wisconsin in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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