Individual provider Active NPI

Nancy Palnik, PMHNP,BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1124360607
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
COA 12403-NP Issued in OH
Practice address
81 Outerbelt St
Columbus, OH 43213-1548
Phone
(614) 759-5075
Fax
(614) 591-4480
NPI assigned
Mar 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X COA 12403-NP OH Primary

Addresses

Primary practice location

81 Outerbelt St
Columbus, OH 43213-1548

Mailing address

870 Euclaire Ave
Columbus, OH 43209-2414
Phone (614) 239-8170

Other practice location 1

1301 N High St
Columbus, OH 43201-2460
Phone (614) 299-6600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address npalnik@optimabehaivoralhealth.carecloud.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140618001989 OH Practitioner - Nurse Practitioner 8820212541 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holistic Wellness Solutions LLCGroup PAC ID 6002243755, 10 clinicians

Practice addresses (Care Compare)

4770 Indianola Ave
Suite 107
Columbus, OH 43214-1862
Phone (614) 371-2303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA 12403-NPOHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Wellness Solutions LLC Psychiatric/Mental Health CurrentSince Nov 1, 2020 Accepting new patients
Dublin Springs Physician Group, LLC Psychiatric/Mental Health CurrentSince Oct 22, 2018 Accepting new patients
Holistic Wellness Solutions LLC Psychiatric/Mental Health PastSince Feb 8, 2023 Accepting new patients

Locations

7941 Solution Ctr
Chicago, IL 60677

4770 Indianola Ave
Ste 107
Columbus, OH 43214
Phone (614) 371-2303

2085 Citygate Dr
Columbus, OH 43219
Phone (614) 300-9100

6810 Perimeter Dr
Ste 100
Dublin, OH 43016
Phone (800) 357-3811

7625 Hospital Dr
Dublin, OH 43016
Phone (614) 414-2277

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.

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1124360607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 EUCLAIRE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092414",
            "telephone_number": "614-239-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 OUTERBELT ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131548",
            "telephone_number": "614-759-5075",
            "fax_number": "614-591-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432012460",
            "country_code": "US",
            "telephone_number": "614-299-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALNIK",
        "first_name": "NANCY",
        "credential": "PMHNP,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA 12403-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npalnik@optimabehaivoralhealth.carecloud.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "81 Outerbelt St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432131548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.