Individual provider Active NPI

Mitchell Clark Palmer, PA-C

  • Surgical Physician Assistant
  • Monroeville, PA
National Provider Identifier
1275778805
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA067725 Issued in PA
Practice address
2566 Haymaker Road
Suite 203
Monroeville, PA 15146-3554
Phone
(412) 858-7088
Fax
(412) 858-7016
NPI assigned
Dec 11, 2008
Last updated
May 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X EL13328 NH
Physician Assistant 363A00000X 0110007847 VA
Physician Assistant 363A00000X 085009855 IL
Surgical Physician Assistant 363AS0400X PA006322 GA
Surgical Physician Assistant 363AS0400X MA067725 PA Primary
Surgical Physician Assistant 363AS0400X PA9102913 FL

Addresses

Primary practice location

2566 Haymaker Road
Suite 203
Monroeville, PA 15146-3554

Mailing address

2566 Haymaker Road
Suite 203
Monroeville, PA 15146-3554
Phone (412) 858-7088

Other practice location 1

246 Pleasant St Bldg West
Concord, NH 03301-2548
Phone (603) 224-1725

Other practice location 2

4309 W Medical Center Dr Ste A200
McHenry, IL 60050-8437
Phone (815) 759-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, VA, NH, PA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20090618000412 FL Practitioner - Physician Assistant 9931259603 Reassigns benefits to 2 organizations
I20120410000574 GA Practitioner - Physician Assistant 9931259603 Reassigns benefits to 1 organization
I20210820000154 VA Practitioner - Physician Assistant 9931259603 Reassigns benefits to 3 organizations
I20240126004129 NH Practitioner - Physician Assistant 9931259603 Reassigns benefits to 1 organization
I20260527003451 PA Practitioner - Physician Assistant 9931259603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Enterprise IncGroup PAC ID 9931268091, 176 clinicians
Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone (540) 636-0300

1830 Amherst St
Winchester, VA 22601-2808
Phone (540) 667-1828

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700

1860 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

1880 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-6721

250 Pleasant St
Concord, NH 03301-2598

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
EL13328NHMDPhysician Assistant
PA9102913FLMDSurgical Physician Assistant
PA006322GAMDSurgical Physician Assistant
MA067725PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Jan 1, 2025 Accepting new patients
RMH Medical Group LLC CurrentSince Jul 6, 2021 Accepting new patients
Indian River Health Services Inc CurrentSince Aug 17, 2014 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Oct 18, 2024 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jan 1, 2025 Accepting new patients
RMH Medical Group LLC CurrentSince Jul 6, 2021 Accepting new patients
Winchester Medical Center Current Accepting new patients
Indian River Health Services Inc CurrentSince Aug 17, 2014 Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Winchester Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Emory Medical Care Foundation CurrentSince Oct 18, 2024 Accepting new patients
Umg Cardiothoracic Surgery LLC PastSince Oct 1, 2013 Accepting new patients
Palm Beach General Surgery LLC Past Accepting new patients
Valley Physician Enterprise, Inc Past Accepting new patients
Thoracic & Cardiovascular Surgeons LLC Past Accepting new patients

Locations

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

2006 Health Campus Dr
Ste 200
Rockingham, VA 22801
Phone (540) 689-5555

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Interoperability endpoints

  • Direct secure messaging: mpalmer1461642@valleyhealth.direct-ci.com

Organizations & group practices 20

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

View all 20

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": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1275778805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 HAYMAKER ROAD",
            "address_2": "SUITE 203",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463554",
            "telephone_number": "412-858-7088",
            "fax_number": "412-858-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 HAYMAKER ROAD",
            "address_2": "SUITE 203",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463554",
            "telephone_number": "412-858-7088",
            "fax_number": "412-858-7016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Pleasant St Bldg West",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033012548",
            "country_code": "US",
            "telephone_number": "603-224-1725",
            "fax_number": "603-227-7557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4309 W Medical Center Dr Ste A200",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600508437",
            "country_code": "US",
            "telephone_number": "815-759-8070",
            "fax_number": "815-759-4931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MITCHELL",
        "middle_name": "CLARK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-11",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "EL13328",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007847",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085009855",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "PA006322",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA067725",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.