Individual provider Active NPI

Teresa J Palmer, PA-C

  • Physician Assistant
  • Iowa City, IA
National Provider Identifier
1114147915
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002031 Issued in IA
Practice address
201 S Clinton St Ste 168
Iowa City, IA 52240-4034
Phone
(319) 384-0520
Fax
(319) 384-0603
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 002031 IA
Physician Assistant 363A00000X 002031 IA Primary

Addresses

Primary practice location

201 S Clinton St Ste 168
Iowa City, IA 52240-4034

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 467-7150

Other practice location 1

3415 53rd Ave
Bettendorf, IA 52722-6976
Phone (563) 742-4350

Other identifiers 1

IdentifierTypeStateIssuer
1114147915MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091008000240 IA Practitioner - Physician Assistant 3971543356 Reassigns benefits to 1 organization
I20091202000205 IL Practitioner - Physician Assistant 3971543356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

3056 River Cross CT
Riverside, IA 52327-4724
Phone (319) 467-8355

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 339-7475

Hospital & facility affiliations

  • University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058
  • University of Iowa Health Care Medical Center Down Hospital, Iowa City, IA, CCN 160029

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
958NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
State University of Iowa CurrentSince Dec 6, 2023 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

411 10th St SE
Ste 2300
Cedar Rapids, IA 52403
Phone (319) 731-1430

767 Mormon Trek Blvd
Iowa City, IA 52246
Phone (319) 384-8333

201 S Clinton St
Ste 168
Iowa City, IA 52240
Phone (319) 384-8877

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

2591 Holiday Rd
Iowa City, IA 52241
Phone (319) 467-7150

1632 Sycamore St
Iowa City, IA 52240
Phone (319) 467-8350

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

720 Pacha Pkwy
Ste 1
North Liberty, IA 52317
Phone (319) 384-8801

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

3056 River Crossing Ct
Riverside, IA 52327
Phone (319) 467-8355

Interoperability endpoints

  • Direct secure messaging: tpalmer238940@direct.unitypoint.org

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1114147915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-467-7150",
            "fax_number": "319-467-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S CLINTON ST STE 168",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404034",
            "telephone_number": "319-384-0520",
            "fax_number": "319-384-0603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3415 53rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527226976",
            "country_code": "US",
            "telephone_number": "563-742-4350",
            "fax_number": "563-742-4355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "TERESA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "002031",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114147915",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.