Individual provider Active NPI

Chad Jacob Palmer, MS,AT. RET, PA-C

  • Physician Assistant
  • Silverton, OR
National Provider Identifier
1265619464
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA179415 Issued in OR
Practice address
452 Welch St
Silverton, OR 97381-1934
Phone
(503) 874-2454
NPI assigned
Jan 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 51311 CA
Physician Assistant 363A00000X PA179415 OR Primary

Addresses

Primary practice location

452 Welch St
Silverton, OR 97381-1934

Mailing address

PO Box 3417
Portland, OR 97208-3417

Other practice location 1

475 Bruce St
Yreka, CA 96097-3474
Phone (530) 842-1267

Other practice location 2

1411 E McAndrews Rd
Medford, OR 97504-6107
Phone (541) 773-1435

Other identifiers 1

IdentifierTypeStateIssuer
500715171MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 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
I20140321001556 CA Practitioner - Physician Assistant 4688805385 Reassigns benefits to 1 organization
I20160929000295 OR Practitioner - Physician Assistant 4688805385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silverton HealthGroup PAC ID 8921901877, 147 clinicians

Practice addresses (Care Compare)

335 Fairview St
Silverton, OR 97381-1916
Phone (503) 874-5640

342 Fairview St
Silverton, OR 97381-1917
Phone (503) 525-7660

347 Fairview St
Silverton, OR 97381-1916
Phone (503) 873-5667

406 Welch St
Silverton, OR 97381-1934
Phone (503) 873-8853

452 Welch St
Silverton, OR 97381-1934
Phone (503) 873-8740

454 Welch St
Silverton, OR 97381-1934
Phone (503) 873-1540

5685 Inland Shores Way N
Keizer, OR 97303-3794
Phone (503) 779-2271

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.83
Promoting interoperability
100
Improvement activities
40
Cost
82.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
51311CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Dec 28, 2020 Accepting new patients
Silverton Health CurrentSince Dec 28, 2020 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Nov 20, 2013 Accepting new patients
Silverton Health Past Accepting new patients

Locations

475 Bruce St
Yreka, CA 96097
Phone (530) 842-3507

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

5685 Inland Shores Way N
Keizer, OR 97303
Phone (503) 779-2271

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

452 Welch St
Silverton, OR 97381
Phone (503) 873-1722

Organizations & group practices 6

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 1

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": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1265619464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3417",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 WELCH ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811934",
            "telephone_number": "503-874-2454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Bruce St",
            "address_purpose": "LOCATION",
            "city": "Yreka",
            "state": "CA",
            "postal_code": "960973474",
            "country_code": "US",
            "telephone_number": "530-842-1267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 E McAndrews Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046107",
            "country_code": "US",
            "telephone_number": "541-773-1435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CHAD",
        "middle_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "MS,AT. RET, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51311",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA179415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500715171",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

Verify at the official NPI Registry.