JULIE LYNN STITES NP
NPI 1124299169
Nurse Practitioner - Family in San Rafael, CA

Q: What is Julie Stites's NPI number?

The NPI number for Julie Stites is 1124299169. It was assigned to this individual provider in the NPPES registry on March 18, 2008.

Q: What is Julie Stites's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Julie Stites was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 March 18, 2008PECOS EnrolledAccepts Medicare Assignment

99 MONTECILLO RD, POM CLINIC, 4TH FLOOR MOB 1, SAN RAFAEL, CA 94903(415) 444-4636 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Julie Lynn Stites Np NPPES

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

JULIE LYNN STITES NP (NPI 1124299169) is an individual family provider in San Rafael, California, licensed in California (12265) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1124299169

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJULIE LYNN STITESCredential: NP

Location Address99 MONTECILLO RD, POM CLINIC, 4TH FLOOR MOB 1San Rafael, CA 94903-3308

Mailing Address99 Montecillo RdSan Rafael, CA 94903-3308 · (415) 444-4636

Phone(415) 444-4636

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMarch 18, 2008

Last NPPES UpdateJanuary 3, 2022

✔ NPI 1124299169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 12265

99 MONTECILLO RD, San Rafael, CA 94903

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Julie Lynn Stites Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163413402

PECOS Enrollment IDI20040524001072

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 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

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

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.

Leave this field empty

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.

MS. MARTA JUDY FRIEDMAN LCSW, JD

Social Worker (Clinical)