2026 NPPES data Obstetrics & Gynecology Nurse Practitioner NPI 1518332931 ARNP
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JENNIFER JULIAN, ARNP

Obstetrics & Gynecology Nurse Practitioner in SPOKANE, Washington. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
475
Medicare Part D claims · 126 beneficiaries · Obstetrics & Gynecology Nurse Practitioner avg: 232
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$346.41
23 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JENNIFER JULIAN, ARNP filed 475 Medicare Part D claims in 2023 as a Obstetrics & Gynecology Nurse Practitioner in SPOKANE, Washington, prescribing 79% generic.

475
Part D claims, 2023
79%
generic prescribing
$346.41
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JENNIFER JULIAN, ARNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

475 Top 38% higher than 62% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about JENNIFER JULIAN, ARNP?

Quality data not reported

NPI registry status

Active

Issued 12/10/2015

NPI 1518332931

Primary specialty

Obstetrics & Gynecology Nurse Practitioner

Niche

2,864 US NPIs in this specialty

Medicare Part D claims

475 105% vs specialty avg

2023 prescription claims

Specialty avg: 232

Specialty distribution in Washington

How Obstetrics & Gynecology Nurse Practitioner compares to other specialties among Washington providers

Washington providers

Obstetrics & Gynecology Nurse Practitioner share within Washington

1. Obstetrics & Gynecology Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Nurse Practitioner share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Obstetrics & Gynecology Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Obstetrics & Gynecology Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Obstetrics & Gynecology Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Obstetrics & Gynecology Nurse Practitioner) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JENNIFER JULIAN, ARNP appears in the CMS NPPES registry as a Obstetrics & Gynecology Nurse Practitioner provider holding ARNP credentials at 105 W 8TH AVE, SPOKANE, WA, 99204, with a listed phone of (509) 455-5050. NPI 1518332931 was issued on 12/10/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JULIAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 475 prescription claims written by this provider, covering 126 Medicare beneficiaries and totaling roughly $52K in drug spend, split 21% brand-name and 79% generic by claim count, with an opioid prescribing rate of 2.5%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Obstetrics & Gynecology Nurse Practitioner is a narrow specialty nationwide, with 2,864 enrolled providers across 52 states and an average of 232 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

105 W 8TH AVE
SPOKANE, WA 99204

Provider Details

NPI 1518332931
Specialty Obstetrics & Gynecology Nurse Practitioner
Credentials ARNP
Gender Female
NPI Issued 12/10/2015

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JENNIFER JULIAN, ARNP. Source: openpaymentsdata.cms.gov.

Total received

$346

Largest payer

Astellas Pharma US Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to JENNIFER JULIAN, ARNP. To verify JENNIFER JULIAN, ARNP's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JENNIFER JULIAN, ARNP — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 475 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

475
Total Claims
$52K
Total Drug Cost
126
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
887
Total Day Supply
24,725
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$33K
Generic Drug Cost
$19K
Opioid Claims
12 (2.5% rate)
Antibiotic Claims
25

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
0.94
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JENNIFER JULIAN, ARNP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Estradiol
92
Dotti
Estradiol
34
Solifenacin Succinate
30
Clobetasol Propionate
22
Fluconazole
17
Levothyroxine Sodium
16
Norethindrone
16
Slynd
Drospirenone
16
Valacyclovir
Valacyclovir Hcl
14
Asa-Butalb-Caffeine-Codeine
Codeine/Butalbital/Asa/Caffein
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Obstetrics & Gynecology Nurse Practitioner Overview

How JENNIFER JULIAN, ARNP fits within the Obstetrics & Gynecology Nurse Practitioner landscape nationally.

2,864
Obstetrics & Gynecology Nurse Practitioner Providers in US
52
States with Obstetrics & Gynecology Nurse Practitioner
232
Avg Claims per Provider

JENNIFER JULIAN, ARNP's 475 claims are above the specialty average of 232.

Nearby Obstetrics & Gynecology Nurse Practitioner Providers in Washington

Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as JULIAN.

Compare Obstetrics & Gynecology Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is JENNIFER JULIAN, ARNP's specialty?
JENNIFER JULIAN, ARNP specializes in Obstetrics & Gynecology Nurse Practitioner and practices in SPOKANE, Washington. Credentials: ARNP.
How much does JENNIFER JULIAN, ARNP prescribe under Medicare Part D?
In 2023, JENNIFER JULIAN, ARNP wrote 475 Medicare Part D claims totaling $52K in drug costs for 126 beneficiaries.
Where is JENNIFER JULIAN, ARNP located?
JENNIFER JULIAN, ARNP is located at 105 W 8TH AVE, SPOKANE, WA, 99204. Phone: (509) 455-5050.
What is JENNIFER JULIAN, ARNP's NPI number?
JENNIFER JULIAN, ARNP's National Provider Identifier (NPI) is 1518332931, issued on 12/10/2015.
Does JENNIFER JULIAN, ARNP prescribe more brand-name or generic drugs?
JENNIFER JULIAN, ARNP's prescribing is 21% brand-name and 79% generic drugs by claim count, with $33K in brand drug costs.
Does JENNIFER JULIAN, ARNP prescribe opioids?
Yes, JENNIFER JULIAN, ARNP had 12 opioid claims in 2023 with an opioid prescribing rate of 2.5%.
How many Obstetrics & Gynecology Nurse Practitioner providers are there in the US?
There are 2,864 Obstetrics & Gynecology Nurse Practitioner providers across 52 states in the US. The average Obstetrics & Gynecology Nurse Practitioner provider writes 232 Medicare Part D claims per year.
What drugs does JENNIFER JULIAN, ARNP prescribe most often?
Based on 2023 Medicare Part D data, JENNIFER JULIAN, ARNP's most frequently prescribed drugs include Estradiol, Dotti, Solifenacin Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JENNIFER JULIAN, ARNP accept Medicare?
JENNIFER JULIAN, ARNP appears in CMS Medicare data with 475 Part D claims and 126 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JENNIFER JULIAN, ARNP's credentials?
JENNIFER JULIAN, ARNP's NPI is 1518332931 with credentials ARNP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology