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JULIE CLARK PA-C
NPI 1649214131
Physician Assistant in Boise, ID

Active since June 15, 2006PECOS Enrolled
10255 OVERLAND RD, BOISE, ID 83709(208) 302-5600(208) 302-5655 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Julie Clark Pa-c NPPES

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

JULIE CLARK PA-C (NPI 1649214131) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA256) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649214131
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJULIE CLARKCredential: PA-C
Location Address10255 OVERLAND RDBoise, ID 83709-1430
Mailing Address3340 E Goldstone WayMeridian, ID 83642 · (208) 302-5600 · Fax (208) 302-5655
Phone(208) 302-5600
Fax(208) 302-5655
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateNovember 17, 2016
✔ NPI 1649214131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA256
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.
10255 OVERLAND RD, Boise, ID 83709
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Other Identifiers 3

Medicare ID-Type Unspecified1666347ID
Medicare UPINS93904
Medicaid805414100ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Clark Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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 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.
57 services50 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.
42 services42 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.
37 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83709 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 2

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

KARL N WATTS MD
Family Medicine
10255 OVERLAND RD
BOISE, ID 83709
Ada County (208) 302-5600
GENESIS MEDICAL CENTER
Clinic/Center (Primary Care)
10255 OVERLAND RD
BOISE, ID 83709
Ada County (208) 367-7205

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 Clark's NPI number?

The NPI number for Julie Clark is 1649214131. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Julie Clark located?

Julie Clark practices at 10255 Overland Rd, Boise, ID 83709. The listed phone number is (208) 302-5600.

What is Julie Clark's specialty?

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

Is Julie Clark enrolled in Medicare?

Yes. Julie Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Julie Clark was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.