Julie Lorraine Picking, FNP-C

  • Shafter, CA
  • Family nurse practitioner
NPI1164064788PAC ID3173951175
Medicare services, 2024
221
Medicare patients, 2024
77
Part D claims, 2024
2,521
Hospital affiliations
1
Industry payments
$2,238
Practice address
565 Kern Street, Shafter, CA 93263
Practice phone
Call (661) 746-4937
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Vanguard Medical - Shafter

Rural Health Clinic - Independent · Shafter, California

See all 4 affiliations

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Julie Lorraine Picking is a family nurse practitioner in Shafter, California

Julie Picking practices at Vanguard Medical - Shafter in Shafter, California.

Julie Picking's NPI, 1164064788, was assigned on October 15, 2019. Julie Picking holds California license 95013029.

NPI and contact details
Medicare PAC ID
3173951175
NPI enumeration date
October 15, 2019
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(661) 746-4937
Professional email
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Personal email
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Mobile number
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Sex
Female
Estimated age
33
Medical school graduation
2019

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Julie Lorraine Picking practices at Vanguard Medical - Shafter in Shafter, California

Julie Picking's primary practice is Vanguard Medical - Shafter, at 565 Kern Street, Shafter, CA 93263. The practice phone is (661) 746-4937.

  • Vanguard Medical - Shafter
    565 Kern Street, Shafter, CA 93263Phone(661) 746-4937

Source: Dmand AI Affiliation Data

Julie Lorraine Picking is affiliated with 2 sites of care and 2 medical groups

Julie Picking's primary practice is Vanguard Medical - Shafter in Shafter, California. Julie Picking is also affiliated with Adventist Health Bakersfield. The medical group on file is Nightingale Clinical Care. Dmand AI also links Julie Picking to 1 more medical group, named with a free account.

See all 4 affiliations for Julie Picking

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Julie Lorraine Picking's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Julie Picking practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Vanguard Medical - ShafterAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Julie Lorraine Picking is one of 13,532 family nurse practitioners in California

Family is Julie Picking's primary specialty in the NPI Registry, under taxonomy code 363LF0000X. Julie Picking is licensed in California.

Specialties and state licenses

  • Family nurse practitioner, CaliforniaPrimaryLicense 95013029 · taxonomy 363LF0000X

Clinical focus

Dmand AI lists anxiety, arthritis, chronic diabetes, chronic kidney disease, diabetic emergency, enthesopathy in arms, high cholesterol and joint pain among the conditions Julie Picking treats.

Family nurse practitioners near Julie Picking

Counts of family nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Julie Lorraine Picking billed Medicare for 221 services in 2024

CMS data shows 221 Medicare services from Julie Picking across 3 procedure codes in 2024, for 77 Medicare patients. Medicare paid $14,393 for them. Every service was in an office.

Medicare services, 2024221
Medicare patients77
Paid by Medicare$14,393
Procedure codes3

Julie Picking's Medicare services by type, 2024

  1. Office and hospital visits206
  2. Other services15

Julie Picking compared with the California median for family nurse practitioners, 2024

  • Julie Picking
  • California median
Medicare services
221vs 2346% below
Medicare patients
77vs 9014% below
Part D claims
2,009vs 3605.6 times

Medians across 6,382 family nurse practitioners in California with Dmand AI profiles that report each measure.

Julie Picking's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Julie Lorraine Picking treated 77 Medicare patients in 2024, average age 66

CMS counts 77 Medicare patients who saw Julie Picking in 2024. The largest group is 65 to 74, with 31 patients. 75% of them have high cholesterol, and 71% have high blood pressure. 65% are also on Medicaid. Their average risk score is 1.32, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Julie Picking's median patient age at 45, with 72% women.

Medicare patients, 202477
Average age66
Average risk score1.32
Also on Medicaid65%

Julie Picking's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Julie Picking's Medicare patients by sex, 2024

  • Women5875%
  • Men1925%

Chronic conditions among Julie Picking's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure71%
  3. Arthritis48%
  4. Anxiety39%
  5. Diabetes36%
  6. Mood disorders36%
  7. Depression30%
  8. Chronic kidney disease19%

Share of Medicare patients with each condition. A patient can have several.

Julie Picking's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 45

Patient panel by sex, all payers

  • Women72%
  • Men28%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Julie Lorraine Picking wrote 2,521 Medicare Part D claims in 2024

In 2024, Julie Picking wrote 2,521 Medicare Part D claims for 278 patients. 87% of them were for generic drugs. CMS names the drug for 2,009 of them, across 63 drugs with 11 or more claims each, at $157,357 in total drug cost.

Part D claims, 20242,521
Drugs named by CMS63
Total drug cost$157,357
Part D patients278

Julie Picking's Part D claims by kind of drug, 2024

  • Generic2,203 claims87%
  • Brand-name287 claims11%
  • Other31 claims1%

Julie Picking's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Julie Picking's Part D claims, 2024

  • Opioids3%64 of 2,521 claims
  • Antibiotics4%102 of 2,521 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

See all prescribing by Julie Picking

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

How Julie Lorraine Picking takes part in Medicare

Julie Picking accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Julie Lorraine Picking received $2,238 in industry payments from 2024 to 2025

CMS Open Payments shows 115 general payments to Julie Picking from 20 drug and device companies from 2024 to 2025. Food and beverage make up the largest share, 100% of the total. Eli Lilly and Company paid the most, $421.

General payments to Julie Picking by program year, 2024 to 2025

Companies that paid Julie Picking the most, 2024 to 2025

Share is of all general payments to this clinician.

See all payments to Julie Picking

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Julie Lorraine Picking's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Julie Lorraine Picking

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Julie Lorraine Picking's NPI number?

Julie Lorraine Picking's NPI number is 1164064788. It was assigned on October 15, 2019, and it is active in the NPI Registry.

What does Julie Lorraine Picking specialize in?

Julie Lorraine Picking is a family nurse practitioner in Shafter, California. The primary specialty in the NPI Registry is Family Nurse Practitioner (taxonomy code 363LF0000X).

Where does Julie Lorraine Picking practice?

Julie Picking practices at 565 Kern Street, Shafter, CA 93263. Julie Picking's primary practice is Vanguard Medical - Shafter in Shafter, California. Dmand AI also links Julie Picking to 1 medical group.

What is Julie Lorraine Picking's office phone number?

The practice phone on file for Julie Picking is (661) 746-4937.

What is Julie Lorraine Picking's medical license number?

Julie Picking holds California license 95013029.

Which hospitals is Julie Lorraine Picking affiliated with?

Julie Picking is affiliated with Adventist Health Bakersfield.

What medical group is Julie Lorraine Picking part of?

Julie Picking is linked to Nightingale Clinical Care. Dmand AI links Julie Picking to 1 more medical group.

Does Julie Lorraine Picking accept Medicare?

Yes. CMS data shows Julie Picking billed Medicare for 221 services in 2024, and Julie Picking accepts Medicare assignment.

How many Medicare patients does Julie Lorraine Picking see?

CMS counts 77 Medicare patients who saw Julie Picking in 2024, with an average age of 66.

What services does Julie Lorraine Picking bill to Medicare?

In 2024, Julie Picking's most billed Medicare services were office visit, established patient (99214), office visit, established patient (99213) and medicare service (G0439).

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What drugs does Julie Lorraine Picking prescribe most?

In 2024 Medicare Part D data, Julie Picking's most prescribed drugs by claims were Atorvastatin Calcium, Amlodipine Besylate and Gabapentin.

Has Julie Lorraine Picking received payments from drug or device companies?

CMS Open Payments shows $2,238 in general payments to Julie Picking from 20 companies from 2024 to 2025. The largest total came from Eli Lilly and Company.

How long has Julie Lorraine Picking been practicing?

Julie Picking graduated from medical school in 2019, 7 years ago.

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