Individual provider Active NPI

Joseph Woodruff Palmer, NP

  • Nurse Practitioner
  • American Fork, UT
National Provider Identifier
1063277895
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7216657-4405 Issued in UT
Practice address
1175 E 50 S Ste 171
American Fork, UT 84003-2845
Phone
(801) 772-0698
Fax
(801) 772-0705
NPI assigned
Feb 20, 2024
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7216657-4405 UT Primary
Family Nurse Practitioner 363LF0000X 7216657-4405 UT

Addresses

Primary practice location

1175 E 50 S Ste 171
American Fork, UT 84003-2845

Mailing address

1055 N 500 W
Attn: Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225

Other practice location 1

1055 N 500 W Ste 202
Provo, UT 84604-3305
Phone (801) 374-2367

Other practice location 2

96 E Kimballs Ln Ste 305
Draper, UT 84020-5021
Phone (801) 655-5670

Other practice location 3

1020 S 1100 W Ste B
Lehi, UT 84043-6041
Phone (801) 429-8010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20240327000891 UT Practitioner - Nurse Practitioner 9032556964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

1175 E 50
Suite 171
American Fork, UT 84003-2845
Phone (801) 772-0698

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7216657-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince Feb 26, 2024 Accepting new patients
Revere Health PC CurrentSince Feb 26, 2024 Accepting new patients

Locations

1175 E 50 S
American Fork, UT 84003
Phone (719) 492-5994

1175 E 50 S
Ste 170
American Fork, UT 84003

1175 E 50 S
Ste 171
American Fork, UT 84003
Phone (801) 418-0904

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1055 N 500 W
Ste 202
Provo, UT 84604
Phone (801) 374-2367

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • Direct secure messaging: josephpalmer@cuccu.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1063277895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "ATTN: CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 E 50 S STE 171",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032845",
            "telephone_number": "801-772-0698",
            "fax_number": "801-772-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N 500 W Ste 202",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846043305",
            "country_code": "US",
            "telephone_number": "801-374-2367",
            "fax_number": "801-429-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 E Kimballs Ln Ste 305",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840205021",
            "country_code": "US",
            "telephone_number": "801-655-5670",
            "fax_number": "385-203-1344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 S 1100 W Ste B",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840436041",
            "country_code": "US",
            "telephone_number": "801-429-8010",
            "fax_number": "385-203-1344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JOSEPH",
        "middle_name": "WOODRUFF",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "7216657-4405",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7216657-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.