JULIA WAMBOLT APRN-CNP,CNM,,IBCLC
NPI 1346951076
Nurse Practitioner - Women's Health in Ardmore, OK

Active since December 13, 2022PECOS EnrolledAccepts Medicare Assignment
731 12TH AVE NW STE 201, ARDMORE, OK 73401(580) 226-3003(580) 298-3124 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 14, 2023, Dec 13, 2022 (2 updates tracked since 2022).

About Julia Wambolt Aprn-cnp,cnm,,ibclc NPPES

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

JULIA WAMBOLT APRN-CNP,CNM,,IBCLC (NPI 1346951076) is an individual women's health provider in Ardmore, Oklahoma, licensed in Oklahoma (205817) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1346951076
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameJULIA WAMBOLTCredential: APRN-CNP,CNM,,IBCLC
Location Address731 12TH AVE NW STE 201Ardmore, OK 73401-5764
Mailing Address731 12th Ave Nw Ste 201Ardmore, OK 73401-5764 · (580) 226-3003 · Fax (580) 298-3124
Fax(580) 298-3124
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 13, 2022
Last NPPES UpdateMarch 14, 20232 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
✔ NPI 1346951076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in OK · 205817
Also ListedRegistered Nurse · Lactation ConsultantTaxonomy 163WL0100X · License R0044894 (OK)
Also ListedMidwifeTaxonomy 176B00000X · License 205817 (OK)
731 12TH AVE NW STE 201, Ardmore, OK 73401

Accepted Insurance

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

Julia Wambolt Aprn-cnp,cnm,,ibclc 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 ID143694554
PECOS Enrollment IDI20230327002253
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 Julia Wambolt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
4300 W MEMORIAL RD
Oklahoma City, OK 73120
  • Reassigned Medicare billing, Oklahoma enrollment
  • 975 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
244 LEDFORD STREET
Pembroke, GA 31321
  • Reassigned Medicare billing, Georgia enrollment
  • 75 clinicians in this Medicare group

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

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.
22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73401 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES 3

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

Obstetrics & Gynecology
731 12TH AVE NW STE 201
ARDMORE, OK 73401
Preventive Medicine (Public Health & General Preventive Medicine)
731 12TH AVE NW STE 201
ARDMORE, OK 73401
Obstetrics & Gynecology
731 12TH AVE NW STE 201
ARDMORE, OK 73401

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 Wambolt's NPI number?

The NPI number for Julia Wambolt is 1346951076. It was assigned to this individual provider in the NPPES registry on December 13, 2022.

Where is Julia Wambolt located?

Julia Wambolt practices at 731 12th Ave NW Ste 201, Ardmore, OK 73401. The listed phone number is (580) 226-3003.

What is Julia Wambolt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Julia Wambolt enrolled in Medicare?

Yes. Julia Wambolt 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 Julia Wambolt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julia Wambolt reassigns Medicare benefits to 2 organizations: Mercy Clinic Oklahoma Communities (Oklahoma City, OK) and Curtis V. Cooper Primary Health Care Inc. (Pembroke, GA). 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 Julia Wambolt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julia Wambolt accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Julia Wambolt 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 Julia Wambolt was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.