Julia Elizabeth Kelley , FNP
Nurse Practitioner • Puyallup, WA
1029 E Main Ste 104
Puyallup, WA 983723814
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on September 11, 2009; this date does not establish years in practice.
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Published CMS data list 134 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 99214 — Established patient outpatient office visit: 59 service units.
- 36415 — Insertion of needle into vein for collection of blood sample: 40 service units.
- 99213 — Established patient outpatient office visit: 35 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 1,273 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Levothyroxine Sodium — 157 prescription fills, including refills.
- Lantus Solostar (Insulin Glargine,hum.Rec.Anlog) — 101 prescription fills, including refills.
- Ozempic (Semaglutide) — 70 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 41 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Puyallup, WA (2024, 31 clinicians with data). Median for this group: 456. Middle half: 162 to 1,298.
More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: 277. Middle half: 74 to 877.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 329 in 2017 to 134 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2021.
Practice Location & Contact Primary Location
1029 E Main Ste 104
Puyallup, WA 983723814
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $9,506 in 2021
The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 – by Provider and Service, 2021.
Paid by Medicare
About $5,633 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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 – by Provider and Service, 2021.
30-day fills
2,617 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
$634,746 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $2,322.89 across 92 records.
By nature of payment
- Food and Beverage: $2,315.81 across 91 records.
- Education: $7.08 across 1 record.
Reporting-company totals (3 largest of 24)
- Novo Nordisk Inc: $436.99 across 13 records.
- Corcept Therapeutics: $317.90 across 14 records.
- Amgen Inc.: $253.67 across 12 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.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2009
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Julia Kelley 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.
Can order Medicare-covered services
CMS lists Julia Kelley 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Puyallup and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Puyallup, WA (2024, 31 clinicians with data). Median for this group: 456. Middle half: 162 to 1,298.
More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: 277. Middle half: 74 to 877.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Puyallup, WA (2024, 31 clinicians with data). Median for this group: $15,284. Middle half: $1,770 to $84,206.
A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: $11,694. Middle half: $1,114 to $110,470.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Julia Kelley are from 2021.
57 active clinicians are listed under Nurse Practitioner with a practice address in Puyallup, WA (2,310 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Puyallup
15.8% of these 57 clinicians have the CMS telehealth indicator.
70.2% of these 57 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 59% from 329 in 2017 to 134 in 2021.
- 2017: 329
- 2018: 407
- 2019: 652
- 2020: 613
- 2021: 134
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Medicare-allowed amount
Medicare-allowed amount decreased 61% from $24,608 in 2017 to $9,506 in 2021.
- 2017: $24,608
- 2018: $34,716
- 2019: $41,710
- 2020: $35,716
- 2021: $9,506
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Paid by Medicare
Paid by Medicare decreased 68% from $17,877 in 2017 to $5,633 in 2021.
- 2017: $17,877
- 2018: $25,343
- 2019: $30,465
- 2020: $25,521
- 2021: $5,633
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 15% from 1,489 in 2020 to 1,273 in 2024.
- 2020: 1,489
- 2021: 836
- 2022: 761
- 2023: 1,158
- 2024: 1,273
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30-day fills
30-day fills varied from year to year: 2,794 in 2020 and 2,617 in 2024.
- 2020: 2,794
- 2021: 1,565
- 2022: 1,558
- 2023: 2,361
- 2024: 2,617
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Part D drug cost
Part D drug cost increased 12% from $565,427 in 2020 to $634,746 in 2024.
- 2020: $565,427
- 2021: $386,899
- 2022: $443,064
- 2023: $731,661
- 2024: $634,746
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $551.62 in 2021 to $2,322.89 in 2025.
- 2021: $551.62
- 2022: $1,658.91
- 2023: $822.57
- 2024: $1,034.15
- 2025: $2,322.89
Sources: CMS Medicare Physician & Other Practitioners (2021), 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 · 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
Program year 2025 (payments made January 1 – December 31, 2025): 92 records totaling $2,322.89.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $125.00 |
| Tandem Diabetes Care, Inc. |
Food and Beverage
In-kind items and services
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t:slim X2 Insulin Pump with Control-IQ | General | $123.31 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $114.62 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $108.61 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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FREESTYLE LIBRE 3 | General | $89.61 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
TZIELD | General | $36.19 |
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
|
REZDIFFRA | General | $33.81 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
CREON | General | $31.80 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Rybelsus | General | $30.84 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Rybelsus | General | $30.71 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
EVENITY | General | $30.41 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $30.26 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
EVENITY | General | $29.93 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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MINIMED 780G | General | $29.90 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $29.44 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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EVENITY | General | $29.37 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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EVENITY | General | $28.88 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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CREON | General | $28.63 |
| Antares Pharma, Inc. |
Food and Beverage
In-kind items and services
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XYOSTED | General | $28.29 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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STRENSIQ | General | $28.25 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
FREESTYLE LIBRE 3 | General | $28.24 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
CREON | General | $28.17 |
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
|
REZDIFFRA | General | $27.75 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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LEQVIO | General | $26.67 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $26.52 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2020 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 – by Provider and Service data, 2017–2021; 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 |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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59 | 57 | $331.00 | $112.29 |
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36415
Insertion of needle into vein for collection of blood sample
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40 | 35 | $5.00 | $3.00 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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35 | 35 | $233.00 | $78.89 |
Source: CMS Part B by Provider and Service, 2021; 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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 157 | 12,112 | $1,729.99 | 41 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 101 | 6,171 | $17,234.68 | 29 |
| Ozempic | Semaglutide | 70 | 2,570 | $85,878.12 | 16 |
| Jardiance | Empagliflozin | 63 | 2,901 | $57,756.89 | 15 |
| Mounjaro | Tirzepatide | 63 | 2,868 | $103,001.21 | 14 |
| Novolog Flexpen | Insulin Aspart | 58 | 2,407 | $19,773.63 | 15 |
| Metformin Hcl Er | Metformin Hcl | 57 | 4,822 | $753.04 | 20 |
| Humalog Kwikpen U-100 | Insulin Lispro | 35 | 1,910 | $9,710.28 | 15 |
| Metformin Hcl | Metformin Hcl | 34 | 2,590 | $242.69 | — |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 34 | 2,648 | $4,330.84 | 13 |
| Soliqua 100-33 | Insulin Glargine/Lixisenatide | 28 | 1,266 | $38,864.83 | — |
| Lisinopril | Lisinopril | 27 | 2,080 | $103.03 | — |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 27 | 1,997 | $19,206.49 | 11 |
| Droplet Pen Needle | Pen Needle, Diabetic | 27 | 1,671 | $1,920.07 | — |
| Trulicity | Dulaglutide | 26 | 1,512 | $50,976.21 | — |
| Glipizide Er | Glipizide | 25 | 1,692 | $189.13 | — |
| Tresiba Flextouch U-200 | Insulin Degludec | 25 | 1,223 | $28,186.08 | — |
| Januvia | Sitagliptin Phosphate | 24 | 1,065 | $19,560.98 | — |
| Novolog | Insulin Aspart | 24 | 1,212 | $8,609.77 | — |
| Synthroid | Levothyroxine Sodium | 23 | 1,470 | $1,785.80 | — |
| Liothyronine Sodium | Liothyronine Sodium | 23 | 1,530 | $647.37 | — |
| Humalog Mix 75-25 Kwikpen | Insulin Lispro Protamin/Lispro | 23 | 779 | $9,539.11 | — |
| Rybelsus | Semaglutide | 21 | 870 | $25,817.24 | — |
| Glimepiride | Glimepiride | 20 | 1,740 | $186.92 | — |
| Tresiba Flextouch U-100 | Insulin Degludec | 20 | 1,275 | $16,902.68 | — |
(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: 2024-05-03NUCC Taxonomy Code: 363L00000X
(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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20140724000524
WA
0547391245
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Family Nurse Practitioner
Internal Medicine - Endocrinology, Diabetes & Metabolism
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1029 E MAIN STE 104, PUYALLUP, WA 983723814 (Tel: 5344669772)
Nurse Practitioner (license number reported to NPPES: WA AP60454192)
Registered at 1029 E MAIN STE 104, PUYALLUP, WA 983723814 (Tel: 2534466977)
Nurse Practitioner (license number reported to NPPES: GA RN153888)
NPI status registered as active in NPPES database
Registered at 2555 MARVIN RD NE, PMG SW WA OLYMPIA ENDOCRINE, LACEY, WA 985163138 (Tel: 3604134250)
Registered at PO BOX 3360, PORTLAND, OR 972083360 (Tel: 3604866508)
Recorded as JULIA KELLEY, FNP
Nurse Practitioner (license number reported to NPPES: WA AP60454192)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Puyallup
- Heather Hokanson, ARNP
- Margaret Poteet, MSN
- Merrily Fillmore, ARNP
- Jill Willis, ARNP
- Miroslava Dostan, ARNP
- Joslyn Tapec, ARNP
Mailing Address
1029 E Main Ste 104
Puyallup, WA 983723814
Phone: 5344669772