Carrie L Palmer, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

5601004608 Issued in MI

Practice address

2855 Capital Ave SW
Battle Creek, MI 49015-6105

Phone

(269) 979-6200

Fax

(269) 979-6201

NPI assigned

Apr 10, 2006

Last updated

Oct 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1114980158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 W Q AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098942",
            "telephone_number": "269-224-1659",
            "fax_number": "269-421-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490156105",
            "telephone_number": "269-979-6200",
            "fax_number": "269-979-6201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 Capital Ave SW",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490159354",
            "country_code": "US",
            "telephone_number": "269-979-6200",
            "fax_number": "269-979-6201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CARRIE",
        "middle_name": "L",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601004608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "5131199",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pain Doc Anesthesiology PC
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• Nancy Kay Palis, M.D.
• Nathan Allen Pallett, PHARM.D.
• Rachel Catherine Pallett
• Pams Divine Purpose Services
• Sherry Pancost, M.A.
• Luiz Fernando Pantalena, D.M.D., PH.D.
• Keith L Papendick, MD
• Harouna Pare, RN

• Surgical Physician Assistant in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Surgical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.