Individual provider Active NPI

Kathleen L Palmer, APN

  • Adult Health Nurse Practitioner
  • Freehold, NJ
National Provider Identifier
1174932347
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00516300 Issued in NJ
Practice address
3499 Route 9 N
Suite 2B
Freehold, NJ 07728-3258
Phone
(732) 625-3166
Fax
(732) 409-7473
NPI assigned
Aug 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00516300 NJ Primary

Addresses

Primary practice location

3499 Route 9 N
Suite 2B
Freehold, NJ 07728-3258

Mailing address

1028 Hooper Avenue
Toms River, NJ 08753-8321
Phone (732) 349-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20141107000637 NJ Practitioner - Nurse Practitioner 3072735026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

1028 Hooper Ave
Toms River, NJ 08753-8321
Phone (732) 349-5358

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC CurrentSince Sep 23, 2014 Accepting new patients
Jersey Shore Monmouth Family Medicine Group P C Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

3499 US Highway 9
Ste 2B
Freehold, NJ 07728
Phone (732) 431-1126

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

4764 Route 9 S
Howell, NJ 07731
Phone (732) 370-3563

27 S Cooks Bridge Rd
Ste 2-7
Jackson, NJ 08527
Phone (732) 295-6543

27 S Cooks Bridge Rd
Ste 2-3
Jackson, NJ 08527
Phone (732) 994-7855

700 Highway 71
Ste 9
Sea Girt, NJ 08750
Phone (732) 974-0340

1028 Hooper Ave
Toms River, NJ 08753
Phone (732) 202-6850

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 3

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 6

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": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1174932347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 HOOPER AVENUE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538321",
            "telephone_number": "732-349-8866",
            "fax_number": "732-349-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 ROUTE 9 N",
            "address_2": "SUITE 2B",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283258",
            "telephone_number": "732-625-3166",
            "fax_number": "732-409-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00516300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.