Individual provider Active NPI

Pamela Palmer, APRN

  • Family Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1003284688
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128868 Issued in TX
Practice address
1507 Rivery Blvd
Georgetown, TX 78628-3058
Phone
(512) 509-9550
NPI assigned
Sep 12, 2015
Last updated
Oct 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128868 TX Primary

Addresses

Primary practice location

1507 Rivery Blvd
Georgetown, TX 78628-3058

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (512) 922-4502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151110002594 TX Practitioner - Nurse Practitioner 3274843826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Oaks Family Practice PAGroup PAC ID 1658356605, 2 clinicians

Practice addresses (Care Compare)

15930 S Great Oaks Dr
Suite a 200
Round Rock, TX 78681-5698
Phone (512) 246-3338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Oaks Family Practice, PA CurrentSince Jan 1, 2024 Accepting new patients

Locations

15930 S Great Oaks Dr
Ste A200
Round Rock, TX 78681
Phone (512) 246-3338

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADBCBD/Endpoint/ADBCBD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1003284688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "512-922-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 RIVERY BLVD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283058",
            "telephone_number": "512-509-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "PAMELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-12",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.