Individual ProviderJulie O'GaraNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address345 N Riverview St Ste 500, Wichita, KS 67203-4265(316) 616-1055PECOS EnrollmentBased on the most recent information from CMS, provider Julie O'Gara is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1487252193Provider TypeIndividualFull NameO'Gara, JulieCredentialFNPGenderFemaleSole ProprietorYesEnumeration Date10/14/2020Last Updated7/18/2024Contact InformationPractice LocationPractice Address345 N Riverview St Ste 500, Wichita, KS 67203-4265Phone(316) 616-1055FaxUnlisted FaxMailing LocationMailing Address345 N Riverview St Ste 500, Wichita, KS 67203-4265Phone(316) 616-1055FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense80306KansasCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2019016258MissouriProvider IdentifiersIDDescriptionIssuerID2020037483DescriptionOtherIssuerFNPMissouri