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MS. JACQUELINE JULTY PA-C
NPI 1184759649
Physician Assistant in Palo Alto, CA

Active since February 23, 2007PECOS Enrolled
3801 MIRANDA AVE, PALO ALTO, CA 94304(650) 498-5000 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jacqueline Julty Pa-c NPPES

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

MS. JACQUELINE JULTY PA-C (NPI 1184759649) is an individual physician assistant in Palo Alto, California, licensed in Wisconsin (8397) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Marshfield, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1184759649
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. JACQUELINE JULTYCredential: PA-C
Location Address3801 MIRANDA AVEPalo Alto, CA 94304-1207
Mailing Address2500 Grant RdMountain View, CA 94040-4302 · (650) 940-7000
Phone(650) 498-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJuly 2, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1184759649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WI · 8397✔ Licensed in CA · PA 11877
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3801 MIRANDA AVE, Palo Alto, CA 94304
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Secondary Practice Location 1

Location 11000 North Oak AvenueMarshfield, WI 54449-5703 · Phone (715) 387-5511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jacqueline Julty Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608829122
PECOS Enrollment IDI20250625002910
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 94304 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. LAURA ELIZABETH STODDARD PHARMD
Pharmacist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
DR. KEVIN MCKENNA PH.D.
Psychologist (Clinical)
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
VALLANCE WA-LUN AU-YEUNG PHARMD
Pharmacist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
ARLENE VICENTE-VELASCO
Registered Nurse
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MAHNOOSH KUHBANANI SEIFODDINI M.D.
Internal Medicine
3801 MIRANDA AVE, VA PALO ALTO HEALTH CARE SYSTEM (111STC)
PALO ALTO, CA 94304
Santa Clara County (209) 946-3400
DR. EDWARD LEE COHEN MD
Obstetrics & Gynecology
3801 MIRANDA AVE, #112
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MRS. JEAN JONES GURGA OTR/L
Occupational Therapist
3801 MIRANDA AVE, PMRS (117)
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MS. ELLEN WHITE FORD LCSW, MSW, MPH
Social Worker (Clinical)
3801 MIRANDA AVE, VAPAHCS SOCIAL WORK SERVICE, 122 PA
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000

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 Jacqueline Julty's NPI number?

The NPI number for Jacqueline Julty is 1184759649. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Jacqueline Julty located?

Jacqueline Julty practices at 3801 Miranda Ave, Palo Alto, CA 94304. The listed phone number is (650) 498-5000.

What is Jacqueline Julty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacqueline Julty enrolled in Medicare?

Yes. Jacqueline Julty is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Julty accept?

Health plans from Sanford Health Plan list Jacqueline Julty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Julty was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.