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JULIENNE KALA NP
NPI 1558911206
Nurse Practitioner - Family in Hagerstown, MD

Active since September 16, 2019PECOS EnrolledAccepts Medicare Assignment
96.71/100
CMS Quality Rating
1150 PROFESSIONAL CT STE P, HAGERSTOWN, MD 21740(301) 665-9696 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2022, Sep 16, 2019 (2 updates tracked since 2019).

About Julienne Kala Np NPPES

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

JULIENNE KALA NP (NPI 1558911206) is an individual family provider in Hagerstown, Maryland, licensed in Maryland (R213722) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1558911206
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJULIENNE KALACredential: NP
Location Address1150 PROFESSIONAL CT STE PHagerstown, MD 21740-4100
Mailing Address11350 Mccormick Road, Executive Plaza 1 Suite 501Hunt Valley, MD 21031
Phone(301) 665-9696
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 16, 2019
Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
✔ NPI 1558911206 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 MD · R213722
1150 PROFESSIONAL CT STE P, Hagerstown, MD 21740
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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

Julienne Kala 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 ID4880020957
PECOS Enrollment IDI20200210000018
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 6

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.
1,755 services323 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
372 services209 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
267 services164 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.
139 services96 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
56 services47 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
47 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21740 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

96.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.32
Promoting Interoperability100
Improvement Activities40
Cost89.52

Reported Quality Measures

Advance Care Plan
90%411 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
62%305 patients3/55-star benchmark: 98%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%189 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
92%1,203 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
73%721 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
55%4,465 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 800 patients
Patients screened: 90% · 800 patients
96%258 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 87% · 800 patients
Patients screened: 92% · 800 patients
59%88 patients
Provide Patients Electronic Access to Their Health Information
100%730 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

RAJ NARENDRA PAREKH MD
Anesthesiology
1150 PROFESSIONAL CT STE P
HAGERSTOWN, MD 21740
Washington County (301) 665-9696
CENTER FOR PAIN MANAGEMENT LLC
Non-Pharmacy Dispensing Site
1150 PROFESSIONAL CT STE P
HAGERSTOWN, MD 21740
Washington County (301) 665-9696
CENTER FOR PAIN MANAGEMENT, LLC
Pain Medicine (Interventional Pain Medicine)
1150 PROFESSIONAL CT STE P
HAGERSTOWN, MD 21740
Washington County (301) 850-2768

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 Julienne Kala's NPI number?

The NPI number for Julienne Kala is 1558911206. It was assigned to this individual provider in the NPPES registry on September 16, 2019.

Where is Julienne Kala located?

Julienne Kala practices at 1150 Professional Ct Ste P, Hagerstown, MD 21740. The listed phone number is (301) 665-9696.

What is Julienne Kala's specialty?

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

Is Julienne Kala enrolled in Medicare?

Yes. Julienne Kala 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.

When was this NPI record last updated?

The NPPES record for Julienne Kala was last updated on March 7, 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.