Brianna A Palmer, PMHNP-BC

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Leeds, ME

NPI 1295587509 · NPPES record last updated Jun 19, 2025

Key facts

NPI
1295587509
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
CNP231524 (ME)
Practice address
180 Church Hill Rd
Leeds, ME 04263-3418
Phone
(207) 524-3501
NPI assigned
Apr 2, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240502000517 ME Practitioner - Nurse Practitioner 2264872639 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CNP231524MEMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
DFD Russell Medical Center Inc Current
since Mar 29, 2024
Accepting new patients

Locations

180 Church Hill Rd
#1
Leeds, ME 04263
Phone (207) 524-3501

11 Academy Rd
Monmouth, ME 04259
Phone (207) 524-3501

7 Main St
Turner, ME 04282
Phone (207) 225-2676

Interoperability endpoints

  • Direct secure messaging: brianna.palmer.1@30169.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X CNP231524 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP231524 ME Yes

Addresses

Primary practice location

180 Church Hill Rd
Leeds, ME 04263-3418

Mailing address

943 Orchard Dr
Wilton, ME 04294-4863

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 19, 2025.

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1295587509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 ORCHARD DR",
            "city": "WILTON",
            "state": "ME",
            "postal_code": "042944863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CHURCH HILL RD",
            "city": "LEEDS",
            "state": "ME",
            "postal_code": "042633418",
            "telephone_number": "207-524-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "BRIANNA",
        "middle_name": "A",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP231524",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP231524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leeds, ME

All providers in Leeds, ME · Psychiatric/Mental Health Nurse Practitioner in Maine

Sources for this page

Verify at the official NPI Registry.