Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Julia Wrona , PA

Physician Assistant โ€ข Reno, NV

Active NPI 1346881927 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

5390 Longley Ln
Reno, NV 895112291

Call 7753020000 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

5390 Longley Ln

Reno, NV 895112291

Telephone 7753020000
Fax 7752600368
Organization at the Same NPPES Address or Phone
Reno Heart Institute Desai Pc Facility NPI 1104572700

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 2 distinct group names: Anywhere Clinic Llc; Reno Heart Institute Desai Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Medicare patients

561 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 $93,373 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 $69,010 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

9,322 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

$596,129 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.

Open Payments general payments, program year 2025

All general payments: $1,313.29 across 47 records.

By nature of payment

  • Food and Beverage: $1,313.29 across 47 records.

Reporting-company totals (3 largest of 14)

  • Edwards Lifesciences Corporation: $248.61 across 6 records.
  • United Therapeutics Corporation: $185.20 across 8 records.
  • Janssen Pharmaceuticals, Inc: $180.37 across 7 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 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.

NPI first issued

2019

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; 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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Julia Wrona 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 Wrona 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 Reno and Nevada

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Reno, NV (2024, 132 clinicians with data). Median for this group: 381. Middle half: 160 to 873.

More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: 239. Middle half: 99 to 900.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Reno, NV (2024, 132 clinicians with data). Median for this group: $29,997. Middle half: $14,291 to $62,844.

A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: $19,039. Middle half: $8,218 to $51,606.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Reno, NV (2024, 132 clinicians with data). Median for this group: $20,311. Middle half: $10,562 to $46,188.

A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: $14,357. Middle half: $5,921 to $37,821.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Reno, NV (2024, 148 clinicians with data). Median for this group: 254. Middle half: 118 to 1,203.

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Nevada (2024, 617 clinicians with data). Median for this group: 324. Middle half: 94 to 1,300.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Reno, NV (2024, 148 clinicians with data). Median for this group: $3,407. Middle half: $1,084 to $73,027.

A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Nevada (2024, 617 clinicians with data). Median for this group: $7,774. Middle half: $876 to $106,842.

234 active clinicians are listed under Physician Assistant with a practice address in Reno, NV (1,084 in Nevada).

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

Telehealth indicator in Reno

12.8% of these 234 clinicians have the CMS telehealth indicator.

70.5% of these 234 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 47 records totaling $1,313.29.

Manufacturer Payment Nature Product Type Amount ($)
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $129.92
Edwards Lifesciences Corporation
Food and Beverage
In-kind items and services
PASCAL General $123.08
Edwards Lifesciences Corporation
Food and Beverage
In-kind items and services
PASCAL General $35.45
BridgeBio Pharma, Inc.
Food and Beverage
In-kind items and services
Attruby General $34.34
United Therapeutics Corporation
Food and Beverage
In-kind items and services
Tyvaso General $34.10
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
VERQUVO General $33.76
Edwards Lifesciences Corporation
Food and Beverage
In-kind items and services
SAPIEN 3 Ultra RESILIA General $33.34
United Therapeutics Corporation
Food and Beverage
In-kind items and services
Tyvaso General $33.15
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $31.81
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
UPTRAVI General $31.52
Edwards Lifesciences Corporation
Food and Beverage
In-kind items and services
SAPIEN 3 Ultra RESILIA General $31.32
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
UPTRAVI General $29.27
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
VERQUVO General $29.04
United Therapeutics Corporation
Food and Beverage
In-kind items and services
Tyvaso General $28.61
BridgeBio Pharma, Inc.
Food and Beverage
In-kind items and services
Attruby General $28.17
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
UPTRAVI General $27.91
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
LEQVIO General $27.83
SCPHARMACEUTICALS INC.
Food and Beverage
In-kind items and services
FUROSCIX General $27.67
United Therapeutics Corporation
Food and Beverage
In-kind items and services
Tyvaso General $26.07
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
UPTRAVI General $25.96
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $24.97
Esperion Therapeutics, Inc.
Food and Beverage
In-kind items and services
NEXLETOL General $24.38
United Therapeutics Corporation
Food and Beverage
In-kind items and services
Tyvaso General $23.99
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
UPTRAVI General $23.92
Bristol Myers Squibb Company
Food and Beverage
Cash or cash equivalent
ELIQUIS General $23.37

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

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 2020โ€“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, 2021โ€“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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
766 527 $397.25 $108.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
50 48 $564.64 $150.33
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
28 28 $46.07 $12.05
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
15 15 $621.00 $167.15

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
Metoprolol Succinate Metoprolol Succinate 393 33,869 $7,060.85 179
Atorvastatin Calcium Atorvastatin Calcium 375 32,699 $7,355.88 169
Rosuvastatin Calcium Rosuvastatin Calcium 305 26,150 $7,220.17 119
Amlodipine Besylate Amlodipine Besylate 292 25,820 $3,417.55 137
Losartan Potassium Losartan Potassium 208 17,170 $3,086.37 91
Eliquis Apixaban 190 13,582 $248,817.02 79
Clopidogrel Clopidogrel Bisulfate 168 14,002 $2,703.14 81
Carvedilol Carvedilol 162 14,012 $1,757.94 66
Lisinopril Lisinopril 133 11,770 $1,249.82 59
Furosemide Furosemide 117 8,577 $764.31 59
Spironolactone Spironolactone 117 9,709 $1,178.03 51
Xarelto Rivaroxaban 99 6,875 $123,856.01 36
Metoprolol Tartrate Metoprolol Tartrate 98 8,357 $731.40 43
Isosorbide Mononitrate Er Isosorbide Mononitrate 73 4,885 $858.39 36
Hydrochlorothiazide Hydrochlorothiazide 61 5,510 $312.38 27
Ezetimibe Ezetimibe 54 4,770 $2,873.43 24
Potassium Chloride Potassium Chloride 46 3,653 $1,126.52 26
Amiodarone Hcl Amiodarone Hcl 44 2,580 $669.41 14
Repatha Sureclick Evolocumab 42 2,470 $47,285.62 15
Entresto Sacubitril/Valsartan 40 2,640 $58,381.96 15
Valsartan Valsartan 38 3,470 $1,231.16 19
Digoxin Digoxin 34 2,670 $835.56 12
Enalapril Maleate Enalapril Maleate 31 2,250 $501.08 11
Nitroglycerin Nitroglycerin 30 884 $513.78 15
Chlorthalidone Chlorthalidone 25 2,290 $583.21 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: 2025-05-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NV PA2217

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.

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: Nevada State Medical Licensing Board.
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 - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20200423000396

Enrollment State Jurisdiction

NV

PECOS Control ID

9537599154

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

Reno Heart Institute Desai Pc

1155 S Congress Ave, Palm Springs, FL 334065114

Anywhere Clinic Llc

4029 Dean Martin Dr, Las Vegas, NV 891034138

Phone: 7028482256

Reno Heart Institute Desai Pc

5390 Longley Ln, Reno, NV 895112291

Phone: 7753020000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Tracy Birkner , PA

Physician Assistant - Medical

NPI 1154313666

Physician Assistant

Dr. Devang Desai , MD

Internal Medicine - Cardiovascular Disease

NPI 1013110998

Doctor of Medicine (M.D.)

Valerie Jakubos , APRN

Nurse Practitioner - Adult Health

NPI 1538780424

Advanced Practice Registered Nurse

Dr. Mark Levin , MD

Surgery - Vascular Surgery

NPI 1730492414

Doctor of Medicine (M.D.)

Dr. Thomas Nylk , MD

Internal Medicine - Cardiovascular Disease

NPI 1700869708

Doctor of Medicine (M.D.)

Dr. Joseph Stevenson , DO

Internal Medicine - Cardiovascular Disease

NPI 1467444901

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

12 Historical Events
๐Ÿ“
Updated Practice Location May 08, 2025

Registered at 5390 LONGLEY LN, RENO, NV 895112291 (Tel: 7753020000)

๐Ÿ“
Updated Business Mailing Address May 08, 2025

Registered at 5390 LONGLEY LN, RENO, NV 895112291 (Tel: 7753020000)

๐Ÿ‘ค
Provider Name / Credentials Updated May 08, 2025

Recorded as JULIA WRONA, PA

๐Ÿ“
Updated Practice Location November 19, 2020

Registered at 645 N ARLINGTON AVE STE 555, RENO, NV 895034452 (Tel: 7757707623)

๐Ÿ“
Updated Business Mailing Address February 03, 2020

Registered at 7608 CRUZ BAY CT, LAS VEGAS, NV 891287282 (Tel: 5104274177)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2020

Physician Assistant (license number reported to NPPES: NV PA2217)

โœ…
NPI Profile Active October 04, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) October 04, 2019

Registered at 3186 S MARYLAND PKWY, LAS VEGAS, NV 891092317 (Tel: 7029615000)

๐Ÿ“
Business Mailing Address (Initial Record) October 04, 2019

Registered at 3409 BIG OAK CT, HAYWARD, CA 945422105 (Tel: 5104274177)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) October 04, 2019

Recorded as JULIA WRONA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2019

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration October 04, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346881927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2019
Last Update: May 08, 2025
Sole Proprietor: No

Other Physician Assistants in Reno

All Physician Assistants in Reno

Mailing Address

5390 Longley Ln

Reno, NV 895112291

Phone: 7753020000

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.