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Edit this profileListed in the NPI registry as a nurse practitioner, Julia Ripellino practices in Williamsville, NY. According to Medicare claims data, Julia cared for 209 Medicare patients across 380 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, and injection of trigger points, 3 or more muscles. NPI 1841719572 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
40 GEORGE KARL BLVD
Williamsville, NY 14221
380 services · 209 patients · 4 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Injection of trigger points, 3 or more muscles | Procedure | 20553 |
48 | More often than most peers in Nurse Practitioner |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
199 | More often than most peers in Nurse Practitioner |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
119 | More often than most peers in Nurse Practitioner |
| Telephone medical discussion with physician, 5-10 minutes | Office visit | 99441 |
14 | Less often than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Julia Ripellino is a nurse practitioner in Williamsville, NY. That is the designation recorded for this NPI in the federal registry.
NPI registry
Julia Ripellino is listed at 40 George Karl Blvd, Williamsville, NY 14221. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (716) 218-1050. Contact the office directly to confirm availability and scheduling.
NPI registry
Julia Ripellino's National Provider Identifier is 1841719572. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Julia Ripellino attended Other, graduating in 2017. This comes from the CMS National Downloadable File.
CMS public data
Julia Ripellino has 9 years experience. Calculated from a graduation year of 2017, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Julia Ripellino performs procedures including injection of trigger points, 3 or more muscles, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Julia Ripellino. If this is you, claiming it is free.
Guide.md
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