Active NPI 1528331774 Individual Practitioner Female Practitioner

Julia Moses Nutter , CRNP

Nurse Practitioner - Family • Middletown, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Julia Nutter, CRNP is a certified Nurse Practitioner - Family practicing in Middletown, DE. With approximately 15 years of clinical experience since completing medical education in 2011, Julia Nutter delivers high-quality medical care to the local community at 291 CARTER DR STE B.

Julia Nutter is affiliated with Christiana Care Emergency Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, management using the results of remote vital sign monitoring per calendar month, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

291 Carter Dr Ste B

Middletown, DE 197095845

Telephone 8443652202

Fax 8445581878

Associated Practice Facility / Clinic

🏢 Center For Interventional Pain Spine Llc Facility NPI 1659123545

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Middletown, DE

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +7.6 yrs vs City Avg

City Avg: 7.4 Yrs

State Avg: 9.6 Yrs

Regional Practice Density

32 Specialists

Practicing in Middletown, DE (715 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nutter (15 Years) 15 Yrs

Middletown Specialty Average (7.4 Years) 7.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	80	$185.00	$74.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	47	$275.56	$106.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$430.00	$140.51
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	43	17	$150.00	$40.88
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	36	12	$120.00	$32.90
93922 Ultrasound study of arm and leg arteries	14	14	$265.00	$69.33
95923 Testing of autonomic (sympathetic) nervous system function	14	14	$400.00	$103.09
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	14	14	$260.00	$73.71
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	11	11	$60.00	$16.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$360.00	$108.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	65	$177.82	$109.39
99213 Established patient office or other outpatient visit, typically 15 minutes	62	47	$145.00	$77.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	32	$359.18	$143.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$240.00	$110.89
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	12	12	$260.00	$70.07
95923 Testing of autonomic (sympathetic) nervous system function	12	12	$400.00	$102.26
93922 Ultrasound study of arm and leg arteries	12	12	$265.00	$66.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
96127 Assessment of emotional or behavioral problems	80	26	$7.00	$4.91
99213 Established patient office or other outpatient visit, typically 15 minutes	62	50	$165.97	$77.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	23	$175.03	$111.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$368.17	$96.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	52	$121.90	$79.27
96127 Assessment of emotional or behavioral problems	78	31	$7.00	$5.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	42	$154.32	$111.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$211.35	$146.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$388.00	$99.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	31	$120.00	$63.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	67	67	$1438.40	$146.81
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	59	52	$70.45	$7.43
99284 Emergency department visit with moderate level of medical decision making	42	42	$974.59	$102.79
99283 Emergency department visit with low level of medical decision making	17	16	$513.71	$51.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$145.00	$94.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	194	188	$1396.50	$152.50
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	175	156	$68.40	$7.54
99284 Emergency department visit with moderate level of medical decision making	116	114	$946.20	$102.96
99283 Emergency department visit with low level of medical decision making	56	55	$498.75	$56.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	39	$145.00	$90.44
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$95.00	$61.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$140.00	$90.92
81003 Automated urinalysis test	13	13	$10.00	$2.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	126	119	$1313.67	$149.70
99284 Emergency department visit with moderate level of medical decision making	120	120	$847.12	$99.62
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	101	92	$65.38	$7.31
99283 Emergency department visit with low level of medical decision making	65	62	$459.00	$53.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$145.00	$87.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$140.00	$91.93

Medical Specialties & State Licenses

CMS Verified: 2024-08-23

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License MD R165102

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License DE LG-0001275

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License DE LG-0001275

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0524441 00 (MD)

Medicaid State Provider ID

250719365 (DE)

Medicaid State Provider ID

250719369 (DE)

Medicaid State Provider ID

250721122 (DE)

Medicaid State Provider ID

250719303 (DE)

Commercial Insurance / Payer ID Medicare

238495Y2B (MD)

Hospital & Practice Group Affiliations

Christiana Care Emergency Physicians Llc

106 Bow St, Elkton, MD 219215544

Phone: 4103984000

Christiana Care Emergency Physicians Llc

621 Middletown Odessa Rd, Middletown, DE 197099602

Phone: 3022031300

Secondary Practice Locations

1197 Airport Rd Fl 2

Milford, DE 199636491

Phone: 8443652202

360 E Pulaski Hwy Fl 3

Elkton, MD 219216457

Phone: 8443652202

3105 Limestone Rd Ste 300

Wilmington, DE 198082156

Phone: 8443652202

111 W High St, Suite 314

Elkton, MD 219215529

Phone: 4106200545

405 Silverside Rd Ste 104

Wilmington, DE 198091768

Phone: 8443652202

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Christina Marioni , FNP-C

Nurse Practitioner - Family

NPI 1114570009

Family Nurse Practitioner (Certified)

Lisa Hermansky , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1609488337

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2024

Nurse Practitioner (License #LG-0001275 in DE)

📍

Updated Practice Location July 01, 2024

Registered at 291 CARTER DR STE B, MIDDLETOWN, DE 197095845 (Tel: 8443652202)

📍

Updated Business Mailing Address July 01, 2024

Registered at 291 CARTER DR STE B, MIDDLETOWN, DE 197095845 (Tel: 8443652202)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2023

Nurse Practitioner (License #LG-0001275 in DE)

✅

NPI Profile Active March 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 24, 2014

Registered at 111 W HIGH ST, SUITE 314, ELKTON, MD 219215529 (Tel: 4106200545)

📍

Updated Business Mailing Address March 24, 2014

Registered at 210 CHESAPEAKE BLVD, ELKTON, MD 219216395

👤

Provider Name / Credentials Updated March 24, 2014

Recorded as JULIA NUTTER, CRNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2014

Nurse Practitioner (License #R165102 in MD)

🟢

Initial NPI Registration & Enumeration February 20, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528331774

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 20, 2012

Last Update: August 23, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

291 Carter Dr Ste B

Middletown, DE 197095845

Phone: 8443652202

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.