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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240502000517 | ME | Practitioner - Nurse Practitioner | 2264872639 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP231524 | ME | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DFD Russell Medical Center Inc | Current |
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
- brianna.palmer.1@30169.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Anna D Mead
- Ellen N. Medrano
- Philip A Meher
- Elena C Muehter
- NR Maine LLC
- Peggy Berlucchi
- Kimberly R. Pettengill
- Josephine A. Poulin
- Jessica E Richard
- Heather I. Robertson
All providers in Leeds, ME · Psychiatric/Mental Health Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.