JULIE LYDOLPH MD
NPI 1306569991
Nurse Practitioner - Family in Newport, AR
NPI Status: Active since September 20, 2022
Contact Information
2200 MALCOLM AVE
NEWPORT, AR
ZIP 72112
Phone: (870) 512-2500
Fax: (870) 512-2525
- Individual
- Female
- Nurse Practitioner
- Family
- PECOS Enrolled
About JULIE LYDOLPH
This page provides the complete NPI Profile along with additional information for Julie Lydolph, a provider established in Newport, Arkansas with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1306569991 assigned on September 2022. The practitioner's primary taxonomy code is 363LF0000X with license number 221590 (AR). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1306569991
- Provider Name
- JULIE LYDOLPH MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2200 MALCOLM AVE NEWPORT, AR 72112
- Location Phone
- (870) 512-2500
- Location Fax
- (870) 512-2525
- Mailing Address
- PO BOX 2197 BATESVILLE, AR 72503
- Mailing Phone
- (870) 262-5545
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-20-2022
- Last Update Date
- 09-20-2022
- Code Navigator
A nurse practitioner (NP) like Julie Lydolph is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 221590
- License State
- AR
Medicare Participation & PECOS Enrollment Status
Julie Lydolph is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 72112 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $79.72
- Minimum New Patient Price $51.36
- Maximum New Patient Price $157.74
- Average New Patient Copayment $19.93
- Minimum New Patient Copayment $12.84
- Maximum New Patient Copayment $39.43
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $91.63
- Minimum Established Patient Price $16.16
- Maximum Established Patient Price $128.77
- Average Established Patient Copayment $22.9
- Minimum Established Patient Copayment $4.04
- Maximum Established Patient Copayment $32.19
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 0 | 6 | 5 | 6 | 9 | 9 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 10 | 6 | 18 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 1 + 0 + 6 + 1 + 8 + 9 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1306569991 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225132889 | WHITE RIVER HEALTH SYSTEMS Organization | Clinic/Center (Primary Care) | 2200 MALCOLM AVE SUITE B NEWPORT, AR 72112 (870) 523-9270 |
| 1255457842 | GUILFORD M. DUDLEY, M.D., P.A. Organization | Internal Medicine (Adolescent Medicine) | 2200 MALCOLM AVE SUITE B NEWPORT, AR 72112 (870) 512-2522 |
| 1194314955 | DR. LORI WARD PHARM D Individual | Pharmacist | 2200 MALCOLM AVE NEWPORT, AR 72112 (870) 523-9472 |
| 1275041923 | MARLO RAE HARGRAVE NP Individual | Nurse Practitioner (Family) | 2200 MALCOLM AVE NEWPORT, AR 72112 (870) 512-2500 |
| 1790439826 | WHITE RIVER HEALTH SYSTEM, INC. Organization | Clinic/Center (Radiology) | 2200 MALCOLM AVE NEWPORT, AR 72112 (870) 512-2500 |
| 1114480209 | MITCHELL LOUIS KEEL MD Individual | Internal Medicine | 2200 MALCOLM AVE NEWPORT, AR 72112 (870) 512-2500 |
| 1053175117 | BRYANT HOLIFIELD & DAVIS PHARMACY Organization | Pharmacy (Long Term Care Pharmacy) | 2200 MALCOLM AVE NEWPORT, AR 72112 (870) 523-9472 |
| 1871609743 | WHITE RIVER HEALTH SYSTEM, INC Organization | Clinic/Center (Rural Health) | 2200 MALCOLM AVE SUITE B NEWPORT, AR 72112 (870) 523-9270 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306569991, enumerated in the NPI registry as an "individual" on September 20, 2022
The provider is located at 2200 Malcolm Ave Newport, Ar 72112 and the phone number is (870) 512-2500
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $79.72 with an average copayment of $19.93 for new patient appointments. Established patients should expect a typical charge of $91.63 and an average copayment of 22.9. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 20, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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