1. Home
  2. Directory
  3. California
  4. Bakersfield
  5. Nurse Practitioner
  6. NPI Profile

JULIE LORRAINE PICKING FNP-C
NPI 1164064788
Nurse Practitioner - Family in Bakersfield, CA

Active since October 15, 2019PECOS EnrolledAccepts Medicare Assignment
5143 OFFICE PARK DR, BAKERSFIELD, CA 93309(661) 331-5468 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Julie Lorraine Picking Fnp-c NPPES

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

JULIE LORRAINE PICKING FNP-C (NPI 1164064788) is an individual family provider in Bakersfield, California, licensed in California (95013029) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164064788
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJULIE LORRAINE PICKINGCredential: FNP-C
Location Address5143 OFFICE PARK DRBakersfield, CA 93309-0660
Mailing Address607 Jasmine Parke Dr Apt 3Bakersfield, CA 93312-3495 · (661) 331-5468
Phone(661) 331-5468
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 15, 2019
✔ NPI 1164064788 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 · 95013029
5143 OFFICE PARK DR, Bakersfield, CA 93309
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Julie Lorraine Picking Fnp-c 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 ID3173951175
PECOS Enrollment IDI20200324003218
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

2

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

Vanguard Medical Corporation
3.2 mi
Primary Care
8150 HAGEMAN RD
Bakersfield, CA 93312
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
NPI 1932749108 (661) 459-1010
Nightingale Clinical Care, PC
134 mi
Primary Care
4361 LATHAM ST STE 270
Riverside, CA 92501
  • Reassigned Medicare billing, California enrollment
  • 82 clinicians in this Medicare group
NPI 1972159069 (951) 774-0064

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 3

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.
119 services46 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.
87 services40 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93309 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
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

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

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 supplier12 claims12 services$63.11 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

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

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5143 OFFICE PARK DR
BAKERSFIELD, CA 93309
Kern County (661) 325-4741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julie Picking's NPI number?

The NPI number for Julie Picking is 1164064788. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Where is Julie Picking located?

Julie Picking practices at 5143 Office Park Dr, Bakersfield, CA 93309. The listed phone number is (661) 331-5468.

What is Julie Picking's specialty?

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

Is Julie Picking enrolled in Medicare?

Yes. Julie Picking is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Julie Picking's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Picking reassigns Medicare benefits to 2 organizations: Vanguard Medical Corporation (Bakersfield, CA) and Nightingale Clinical Care, PC (Riverside, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julie Picking's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Julie Picking was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.