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JULIA M MONROE NP
NPI 1336749936
Nurse Practitioner - Acute Care in Worcester, MA

Active since November 01, 2020PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
55 LAKE AVE N, WORCESTER, MA 01655(508) 856-2846(508) 856-3981 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Julia M Monroe Np NPPES

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

JULIA M MONROE NP (NPI 1336749936) is an individual acute care provider in Worcester, Massachusetts, licensed in Massachusetts (RN234609) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthcare-marlborough Hospital, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1336749936
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJULIA M MONROECredential: NP
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885
Phone(508) 856-2846
Fax(508) 856-3981
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 1, 2020
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1336749936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MA · RN234609
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN234609 (MA)
55 LAKE AVE N, Worcester, MA 01655
Open in Google Maps ↗

Secondary Practice Location 1

Location 1210 Lincoln StWorcester, MA 01605-2529 · Phone (508) 754-1956 · Fax (508) 793-2150

Accepted Insurance

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

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

Julia M Monroe 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 ID2668870643
PECOS Enrollment IDI20211005002445
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.

Areas of Expertise CMS Part B claims 5

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 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.
55 services55 patients
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.
45 services44 patients
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.
43 services40 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
39 services34 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

MARTHA LAROSE SAMPSON CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
LINDA A PAPE M.D.
Internal Medicine (Cardiovascular Disease)
55 LAKE AVE N, CARDIOLOGY
WORCESTER, MA 01655
Worcester County (508) 856-3050
DR. DALE E RAUCH M.D.
Psychiatry & Neurology (Psychiatry)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 856-6580
JESSICA L DOUGLAS MS
Genetic Counselor, MS
55 LAKE AVE N, S1-710
WORCESTER, MA 01655
Worcester County (508) 334-3517
DR. JULIANNE PATRICIA HUBER MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
ELLEN M GRAVALLESE M.D.
Internal Medicine (Rheumatology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-5224
DR. ABIGAIL ADAMS M.D.
Internal Medicine
55 LAKE AVE N, DEPARTMENT OF GENERAL MEDICINE
WORCESTER, MA 01655
Worcester County (508) 856-2731
GAMZE AYATA MD
Pathology (Anatomic Pathology)
55 LAKE AVE N, DEPARTMENT OF PATHOLOGY
WORCESTER, MA 01655
Worcester County (508) 793-6100

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 Julia Monroe's NPI number?

The NPI number for Julia Monroe is 1336749936. It was assigned to this individual provider in the NPPES registry on November 1, 2020.

Where is Julia Monroe located?

Julia Monroe practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 856-2846.

What is Julia Monroe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Julia Monroe enrolled in Medicare?

Yes. Julia Monroe 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.

What insurance does Julia Monroe accept?

Health plans from Anthem Blue Cross and Blue Shield list Julia Monroe 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.

Is Julia Monroe affiliated with any hospitals?

According to CMS data, Julia Monroe is affiliated with Umass Memorial Healthcare-Marlborough Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Julia Monroe was last updated on March 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.