Organization Active NPI

Palumbo Wellness LLC

  • Family Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1295605996
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALUMBO WELLNESS LLC
Practice address
2445 Country Place Blvd Ste 101
New Port Richey, FL 34655-1102
Phone
(727) 420-6986
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Nicole Ilene Balkcom, RN
Title
Director
Phone
(727) 953-3599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2445 Country Place Blvd Ste 101
New Port Richey, FL 34655-1102

Mailing address

2445 Country Place Blvd Ste 101
New Port Richey, FL 34655-1102

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2333951Palumbo Wellness, LLC2445 Country Place Blvd Suite 101, New Port Richey, FL 34655Certificate of waiverNov 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Palumbo Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1295605996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 COUNTRY PLACE BLVD STE 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 COUNTRY PLACE BLVD STE 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551102",
            "telephone_number": "727-420-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALUMBO WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "BALKCOM",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ILENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-953-3599",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.