Individual provider Active NPI

Kent M Palmer, ARNP-BC

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1336369545
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9258514 Issued in FL
Practice address
4881 Sugar Maple Dr
Dayton, OH 45433-5529
Phone
(937) 257-9700
NPI assigned
Apr 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP9258514 FL
Family Nurse Practitioner 363LF0000X ARNP9258514 FL Primary

Addresses

Primary practice location

4881 Sugar Maple Dr
Dayton, OH 45433-5529

Mailing address

30 Brittony Woods Dr
Monroe, OH 45050-1245
Phone (513) 435-2145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111011000622 OH Practitioner - Nurse Practitioner 7012002470 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Urgent Care, Inc.Group PAC ID 3870848088, 39 clinicians

Practice addresses (Care Compare)

8 Prestige Plaza Dr
Suite 107
Miamisburg, OH 45342-7304
Phone (937) 208-6871

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
79.22
Promoting interoperability
100
Improvement activities
40
Cost
82.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9258514FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Emergency Professionals Inc CurrentSince Nov 2, 2016 Accepting new patients
Premier Health Urgent Care, Inc. CurrentSince Feb 14, 2022 Accepting new patients
Emergency Professional Services, Inc. Family CurrentSince Nov 2, 2016 Accepting new patients
Uvpc Specialists Inc. Past Accepting new patients

Locations

2484 N Fairfield Rd
Beavercreek, OH 45431
Phone (937) 208-8170

6071 Far Hills Ave
Centerville, OH 45459
Phone (937) 208-6887

8290 Troy Pike
Ste 40
Dayton, OH 45424

6700 Commerce Center Dr
Dayton, OH 45414
Phone (937) 208-6875

1130 S Main St
Englewood, OH 45322
Phone (937) 208-6879

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

580 N State Route 741
Ste 100
Lebanon, OH 45036
Phone (513) 974-8320

8 Prestige Plaza Dr
Ste 107
Miamisburg, OH 45342
Phone (937) 208-6871

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

280 Looney Rd
Ste 107
Piqua, OH 45356
Phone (937) 440-7320

752 N Main St
Springboro, OH 45066
Phone (937) 208-6865

2665 W National Rd
Springfield, OH 45504

1843 W Main St
Troy, OH 45373
Phone (937) 208-4120

Organizations & group practices 4

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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1336369545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BRITTONY WOODS DR",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501245",
            "telephone_number": "513-435-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KENT",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9258514",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9258514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.