JULIE A PAZDERNIK MD
NPI 1104866847
Family Medicine in Detroit Lakes, MN

Q: What is Julie Pazdernik's NPI number?

The NPI number for Julie Pazdernik is 1104866847. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Julie Pazdernik's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Julie Pazdernik was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 08, 2006PECOS Enrolled

1027 WASHINGTON AVE, DETROIT LAKES, MN 56501(218) 847-5611(218) 847-0881 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2026, Oct 7, 2025 (2 updates tracked since 2025).

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About Julie A Pazdernik Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIE A PAZDERNIK MD (NPI 1104866847) is an individual family medicine provider in Detroit Lakes, Minnesota, licensed in Minnesota (46487) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1104866847

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJULIE A PAZDERNIKCredential: MD

Location Address1027 WASHINGTON AVEDetroit Lakes, MN 56501-3409

Mailing Address26 Queen StreetWorcester, MA 01610-2473 · (508) 860-7800 · Fax (508) 661-3046

Phone(218) 847-5611

Fax(218) 847-0881

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJune 8, 2006

Last NPPES UpdateMay 4, 20262 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1104866847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MN · 46487✔ Licensed in MA · 1025096

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1027 WASHINGTON AVE, Detroit Lakes, MN 56501

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Secondary Practice Location 1

Location 126 Queen StreetWorcester, MA 01610-2473 · Phone (508) 860-7800 · Fax (508) 860-7925

Other Identifiers 10

Other41518MN · Lhs/bannerhealth #

OtherDA9031041396MN · Preferred One #

OtherHP42890MN · Healthpartners #

Medicaid13069MN

Other489R3PAMN · Mnbs #

Other181766MN · Ucare #

Other2141911MN · America's Ppo/araz #

Other0120544MN · Medica #

Medicaid906427300MN

Other25565MN · Ndbs #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Sanford Health Plan, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie A Pazdernik Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769467786

PECOS Enrollment IDI20250924001402

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Julie Pazdernik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Mary's Regional Health Center

Same address

Medicare Defined Swing Bed Unit

1027 WASHINGTON AVE
Detroit Lakes, MN 56501

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: St Marys Regional Health Center
254 clinicians in this Medicare group

NPI 1134118250 (218) 847-5611

Family Health Center Of Worcester, Inc.

1,221 mi

Federally Qualified Health Center (FQHC)

140 APRICOT ST, SULLIVAN MIDDLE HEALTH CENTER
Worcester, MA 01603

Reassigned Medicare billing, Massachusetts enrollment
110 clinicians in this Medicare group

NPI 1801181334 (508) 757-5350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

155 services75 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

57 services41 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

56 services56 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services20 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

20 services14 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN

OwnershipVoluntary non-profit - Church

CMS Certification Number240101

Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County

Birthing friendly

Essentia Health Fosston

Critical Access Hospitals · Fosston, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241357

Location900 Hilligoss Boulevard SEFosston, MN 56542 · Polk County

Emergency services

Essentia Health

Acute Care Hospitals · Fargo, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350070

Location3000 32nd Ave SouthFargo, ND 58104 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers14 claims79 services$2.88 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier13 claims13 services$19.64 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers31 claims31 services$43.55 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier13 claims13 services$110.13 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers12 claims1,763 services$0.03 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers13 claims780 services$0.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA M HOFFMAN

Occupational Therapist