Quick answers
- Does Julie B. Fletcher accept Medicare assignment?
- Yes. Medicare's clinician data says Julie B. Fletcher accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Julie B. Fletcher see?
- In 2024, CMS data shows 165 Original Medicare patients and 359 services for Julie B. Fletcher. This counts Original Medicare only and measures volume, not quality.
- What is Julie B. Fletcher's NPI number?
- 1659580272. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Julie B. Fletcher, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 165 |
|---|---|
| Services billed to Medicare | 359 |
| Different services or procedures | 15 |
| Participating Medicare provider | Yes |
| Average age of these patients | 75 |
Most frequent services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)109 services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)86 services
- Hospital discharge day management, more than 30 minutes (99239)59 services
- Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)32 services
- Critical care, first 30-74 minutes (99291)24 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis61%
- Diabetes45%
- Depression44%
- Heart failure44%
Hospitals where Julie B. Fletcher works
Medicare's Facility Affiliation Data lists Julie B. Fletcher at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Mary Lanning HealthcareHastings, NE · Acute Care Hospital · Medicare rating: 2 of 5 stars · Emergency services: listed by Medicare · CCN 280032
Practice locations
Addresses where Julie B. Fletcher is enrolled with Medicare (CMS data updated October 2, 2026).
- 715 N Saint Joseph Ave, Mary Lanning HealthcareHastings, NE 68901 (402) 463‑4521
Group practices
Medicare enrollment lists Julie B. Fletcher as a member of this group (CMS data updated October 2, 2026).
- The Mary Lanning Memorial Hospital Association130 clinicians in the group
Specialties
- Internal Medicineprimary
Other internal medicine doctors in Hastings
Clinicians with the same Medicare primary specialty in Hastings, NE — not a recommendation.
Other clinicians in The Mary Lanning Memorial Hospital Association
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Medical school | University Of Nebraska College Of Medicine |
| Graduation year | 2003 (23 years since medical school) |
| Gender (as listed) | Female |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1659580272 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians