JULIE A VAJDA (PAC) – Physician Assistant, NPI 1780677294

JULIE A VAJDA (PAC) is a healthcare provider. based in Fond du lac, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 1022023 (WI). The NPI Number for JULIE A VAJDA (PAC) is 1780677294

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JULIE A VAJDA (PAC)
NPI
1780677294
Phone
(920) 929-2300
Address
430 E Division St
Enumeration Date
30 August 2005
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4144472000
Graduation Year
1997 (29 years ago)
PAC ID
0749337061
Group Practice PAC ID
8729975461
Professional Enrollment ID
I20090402000253
Address ID
WI532101650MI5000XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,672 PHYSICIAN ASSISTANT in WI

Provider Addresses for JULIE A VAJDA (PAC)

  • 430 E Division St

    Fond du Lac, WI 549354560

    Phone: (920) 929-2300

    Type: Location

  • 3925 N GATEWAY DR

    APPLETON, WI 549137863

    Phone: (920) 702-6371

    Fax: (920) 993-5037

    Type: Location

  • Fond-du-Lac, Northern Saskatchewan Administration District, Saskatchewan, Canada

    FOND DU LAC, WI 549354560

    Phone: (920) 929-2300

    Type: Location

  • 3 NEENAH CTR

    NEENAH, WI 549563070

    Phone: (920) 830-5900

    Fax: (920) 830-5910

    Type: Mailing

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: 2009-04-02

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
I20090402000253IPhysician AssistantWITBD

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
99285Emergency department visit with high level of medical decision making3636$0
99291Critical care, first 30-74 minutes3534$0
99284Emergency department visit with moderate level of medical decision making2928$0
View full utilization report →

Insurance plans in this area (ZIP 54935)

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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: 8729975461View full group profile
NameSpecialtyState
Emergency MedicineWI
Physician AssistantWI
Emergency MedicineWI
-WA
Emergency MedicineWI
Emergency MedicineWI
Physician AssistantWI
Emergency MedicineMN
-WI
Physician AssistantWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for JULIE A VAJDA (PAC)?
JULIE A VAJDA (PAC) — NPI 1780677294 — is the standard way to identify this listing.
Can I rely on JULIE A VAJDA (PAC) being an active provider?
As of the registry snapshot, JULIE A VAJDA (PAC) is marked active.
What is JULIE A VAJDA (PAC)'s primary classification?
Physician Assistant is the headline specialty for JULIE A VAJDA (PAC) here. Clinical services aligned with this taxonomy classification.
Where should I expect JULIE A VAJDA (PAC) on a map?
Expect Fond Du Lac, Wisconsin as a primary anchor for JULIE A VAJDA (PAC) unless the record lists multiple sites.
Is the information about JULIE A VAJDA (PAC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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