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Julia Lyn Winser

Nurse Practitioner โ€ข Adrian, MI

Active NPI 1033822069 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

200 Sand Creek Hwy
Adrian, MI 492211255

Call 5172636794 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

200 Sand Creek Hwy

Adrian, MI 492211255

Telephone 5172636794
Organization at the Same NPPES Address or Phone
Lenawee Medical Care Facility Facility NPI 1861488108

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Transitional Care Services Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Medical School

University Of Michigan Medical School

Graduation Year

2023

Medicare patients

245 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $118,805 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $88,588 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

3,641 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$175,285 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Julia Winser has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Julia Winser as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Adrian and Michigan

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,378 clinicians with data). Median for this group: 168. Middle half: 71 to 378.

Too few clinicians listed under Nurse Practitioner in Adrian have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,378 clinicians with data). Median for this group: $13,524. Middle half: $5,497 to $27,098.

Too few clinicians listed under Nurse Practitioner in Adrian have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,378 clinicians with data). Median for this group: $9,893. Middle half: $4,037 to $20,052.

Too few clinicians listed under Nurse Practitioner in Adrian have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,583 clinicians with data). Median for this group: 357. Middle half: 97 to 1,476.

Too few clinicians listed under Nurse Practitioner in Adrian have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,583 clinicians with data). Median for this group: $24,377. Middle half: $1,492 to $175,387.

Too few clinicians listed under Nurse Practitioner in Adrian have Medicare Part D data for 2024 to compare.

10 active clinicians are listed under Nurse Practitioner with a practice address in Adrian, MI (3,598 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
870 147 $334.28 $87.20
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
319 103 $334.35 $87.68
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
66 47 $252.56 $60.39
99316 Nursing facility discharge management, more than 30 minutes
47 47 $386.00 $107.19
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
19 16 $495.00 $125.98
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
17 14 $497.00 $124.32
69210 Removal of impacted ear wax
15 11 $160.00 $38.57
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
14 11 $251.29 $61.58

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Potassium Chloride Potassium Chloride 232 5,290 $6,401.49 46
Gabapentin Gabapentin 225 4,709 $3,180.93 38
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 206 2,157 $2,418.83 42
Tramadol Hcl Tramadol Hcl 143 1,549 $3,333.21 28
Amlodipine Besylate Amlodipine Besylate 113 2,941 $1,447.26 25
Oseltamivir Phosphate Oseltamivir Phosphate 93 674 $1,989.18 52
Furosemide Furosemide 91 2,070 $681.07 35
Lisinopril Lisinopril 88 2,080 $1,204.68 26
Sertraline Hcl Sertraline Hcl 83 1,963 $1,278.08 16
Pregabalin Pregabalin 77 1,187 $1,611.65 11
Lorazepam Lorazepam 75 921 $630.19 23
Atorvastatin Calcium Atorvastatin Calcium 72 1,892 $594.91 28
Oxycodone Hcl Oxycodone Hcl 68 675 $586.75 19
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 66 722 $974.14 13
Levothyroxine Sodium Levothyroxine Sodium 63 1,575 $769.20 21
Hydralazine Hcl Hydralazine Hcl 63 1,535 $979.49 19
Trazodone Hcl Trazodone Hcl 62 1,707 $820.18 13
Escitalopram Oxalate Escitalopram Oxalate 61 1,379 $610.13 15
Lantus Insulin Glargine,hum.Rec.Anlog 60 1,435 $5,948.82 โ€”
Metoprolol Tartrate Metoprolol Tartrate 57 1,589 $913.98 16
Ipratropium-Albuterol Ipratropium/Albuterol Sulfate 56 520 $1,066.03 29
Clonazepam Clonazepam 49 715 $537.35 โ€”
Bumetanide Bumetanide 49 1,058 $1,473.66 17
Duloxetine Hcl Duloxetine Hcl 47 1,098 $1,988.22 13
Quetiapine Fumarate Quetiapine Fumarate 46 989 $620.49 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MI 4704329007

(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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20230929002353

Enrollment State Jurisdiction

MI

PECOS Control ID

7315391950

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Transitional Care Services Llc

4568 W Walton Blvd, Waterford, MI 483294900

Phone: 8554663631

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Practice Location September 29, 2023

Registered at 200 SAND CREEK HWY, ADRIAN, MI 492211255 (Tel: 5172636794)

๐Ÿ“
Updated Business Mailing Address September 29, 2023

Registered at 200 SAND CREEK HWY, ADRIAN, MI 492211255 (Tel: 5172952614)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2023

Nurse Practitioner (license number reported to NPPES: MI 4704329007)

โœ…
NPI Profile Active January 04, 2023

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 04, 2023

Registered at 324 CRANBROOK BLVD, MONROE, MI 481623522 (Tel: 7347553624)

๐Ÿ“
Business Mailing Address (Initial Record) January 04, 2023

Registered at 324 CRANBROOK BLVD, MONROE, MI 481623522 (Tel: 7347553624)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 04, 2023

Recorded as JULIA WINSER

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2023

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: MI 4704329007)

๐ŸŸข
Initial NPI Registration & Enumeration January 04, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033822069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2023
Last Update: September 29, 2023
Sole Proprietor: No

Other Nurse Practitioners in Adrian

Healthcare providers in Adrian

More public profiles in Michigan

Directory navigation, in NPI number order.

Mailing Address

200 Sand Creek Hwy

Adrian, MI 492211255

Phone: 5172952614

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.