Active NPI
Jason P Palmateer, FNP
- Family Nurse Practitioner
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71001595B
- Practice address
- 5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470 - Phone
- (574) 237-1328
- Fax
- (574) 237-1348
- NPI assigned
- Nov 11, 2005
- Last updated
- Nov 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71001595B | IN | Primary |
Addresses
Primary practice location
5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470
Mailing address
PO Box 746092
Atlanta, GA 30374-6092
Phone (574) 334-5400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200862230 | Medicaid | IN | |
| 000000730740 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470
Phone (574) 237-1328
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.47 of 100
- Quality
- 91.94
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001595B | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michiana Hematology-Oncology P C | Current | Accepting new patients | |
| Michiana Hematology-Oncology P C | Current | Accepting new patients | |
| Byron M. Holm, MD | Past | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Past | Accepting new patients | |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Family | Past | Accepting new patients |
Locations
1506 Osolo Rd
#A
Elkhart, IN 46514
Phone (574) 295-1131
5340 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 237-1328
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
2855 Miller Dr
Ste 119
Plymouth, IN 46563
Phone (574) 941-1000
Organizations & group practices 5
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.
-
- Medical Oncology Physician
- Mishawaka, IN
- NPI 1619970183
-
- Hematology & Oncology Physician
- Plymouth, IN
- NPI 1487793873
-
- Family Medicine Physician
- Plymouth, IN
- NPI 1003987538
-
dba Saint Joseph Foot and Ankle Sports Medicine Institute Plymouth
- Family Medicine Physician
- Plymouth, IN
- NPI 1538585187
-
dba Saint Joseph Medical Group
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1083695332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746092",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746092",
"telephone_number": "574-334-5400",
"fax_number": "574-237-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5340 HOLY CROSS PKWY",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451470",
"telephone_number": "574-237-1328",
"fax_number": "574-237-1348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMATEER",
"first_name": "JASON",
"middle_name": "P",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71001595B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200862230",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000730740",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.