Active NPI 1871027227 Individual Practitioner Female Practitioner

Julia E Horan

Nurse Practitioner • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Julia Horan is a certified Nurse Practitioner practicing in Providence, RI. With approximately 10 years of clinical experience since completing medical education in 2016, Julia Horan delivers high-quality medical care to the local community at 593 EDDY ST.

Julia Horan is affiliated with Southcoast Physicians Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St

Providence, RI 029034923

Telephone 4017939175

Associated Practice Facility / Clinic

🏢 Rhode Island Hospital Facility NPI 1588659528

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Providence, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -0.4 yrs vs City Avg

City Avg: 10.4 Yrs

State Avg: 13.5 Yrs

Regional Practice Density

176 Specialists

Practicing in Providence, RI (397 Statewide)

Telehealth Adoption Rate

15.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Horan (10 Years) 10 Yrs

Providence Specialty Average (10.4 Years) 10.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	32	$398.05	$111.54
36415 Insertion of needle into vein for collection of blood sample	28	25	$12.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$280.36	$82.96

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	130	99	$392.00	$110.69
36415 Insertion of needle into vein for collection of blood sample	90	63	$12.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$278.00	$79.34
81002 Urinalysis, manual test	25	20	$14.00	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$54.00	$12.73
83036 Hemoglobin A1C level	17	14	$42.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$400.00	$113.70
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	16	16	$264.00	$28.43
99496 Transitional care management services for problem of high complexity	13	12	$852.00	$243.37

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	133	92	$384.96	$110.78
36415 Insertion of needle into vein for collection of blood sample	96	60	$12.00	$2.96
81002 Urinalysis, manual test	33	28	$14.00	$3.33
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$54.00	$12.81
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$271.23	$75.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$537.80	$161.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$394.75	$117.07
83036 Hemoglobin A1C level	21	17	$42.00	$9.15
87804 Detection test by immunoassay with direct visual observation for influenza virus	16	15	$67.00	$15.36
G0008 Administration of influenza virus vaccine	12	12	$23.29	$22.90

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	156	109	$355.50	$111.80
36415 Insertion of needle into vein for collection of blood sample	112	80	$12.00	$3.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$373.50	$117.25
93000 Routine ekg using at least 12 leads including interpretation and report	36	35	$54.00	$12.61
81002 Urinalysis, manual test	26	24	$14.00	$3.48
83036 Hemoglobin A1C level	21	19	$42.00	$9.71
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$247.14	$81.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$492.83	$160.52

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	75	57	$345.00	$95.73
36415 Insertion of needle into vein for collection of blood sample	68	50	$12.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	46	40	$236.48	$66.66
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$54.39	$14.59
81002 Urinalysis, manual test	22	18	$13.32	$3.45
G0008 Administration of influenza virus vaccine	20	20	$36.62	$17.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$368.68	$103.05
99443 Telephone medical discussion with physician, 21-30 minutes	16	14	$380.00	$97.12
83036 Hemoglobin A1C level	13	13	$43.85	$9.67
99442 Telephone medical discussion with physician, 11-20 minutes	12	11	$260.00	$67.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	89	76	$209.57	$65.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	41	$311.81	$95.65
36415 Insertion of needle into vein for collection of blood sample	41	35	$11.44	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$339.57	$102.20
81002 Urinalysis, manual test	18	15	$13.00	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$50.33	$15.07
G0008 Administration of influenza virus vaccine	13	13	$49.85	$17.28

Medical Specialties & State Licenses

CMS Verified: 2024-09-06

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License RI APRN01576

(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

NUCC Taxonomy Code: 363L00000X

State License MA RN2274822

Hospital & Practice Group Affiliations

Southcoast Physicians Group Inc

1334 Main Rd, Tiverton, RI 028784425

Phone: 4016255552

Secondary Practice Locations

1800 Main Rd

Tiverton, RI 028784625

Phone: 4016255552

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Keith-Austin Scarfo , DO

Anesthesiology

NPI 1003012014

Doctor of Osteopathic Medicine (D.O.)

Aileen Hsueh

Surgery

NPI 1003034877

Dr. Ga Hie Nam , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003264896

Doctor of Medicine (M.D.)

Eugenie Atallah

Psychiatry & Neurology - Neurology

NPI 1003392689

Dr. Brian Cao , MD

Student in an Organized Health Care Education/Training Program

NPI 1003496274

Doctor of Medicine (M.D.)

Bret Caulfield

Physician Assistant

NPI 1003512476

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) September 06, 2024

Nurse Practitioner (License #RN2274822 in MA)

👤

Provider Name / Credentials Updated May 24, 2021

Recorded as JULIA HORAN

📍

Updated Business Mailing Address April 27, 2020

Registered at 200 MILL RD STE 180, FAIRHAVEN, MA 027195255 (Tel: 5089732000)

📍

Updated Practice Location February 19, 2019

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4017939175)

✅

NPI Profile Active April 12, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 12, 2017

Registered at 211 FAIRVIEW LN, PORTSMOUTH, RI 028713826 (Tel: 4018621057)

📍

Updated Business Mailing Address April 12, 2017

Registered at 211 FAIRVIEW LN, PORTSMOUTH, RI 028713826 (Tel: 4018621057)

👤

Provider Name / Credentials Updated April 12, 2017

Recorded as JULIA SEDDON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2017

Nurse Practitioner (License #APRN01576 in RI)

🟢

Initial NPI Registration & Enumeration April 12, 2017

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: 1871027227

Entity Type:

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

Enumeration Date: April 12, 2017

Last Update: September 06, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

200 Mill Rd Ste 180

Fairhaven, MA 027195255

Phone: 5089732000

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.