Colton A Palmer

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2045 Issued in NE

Practice address

10506 Burt Cir Ste 160
Omaha, NE 68114-2009

Phone

(402) 979-7128

Fax

(888) 786-5514

NPI assigned

Feb 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2022 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pilgrim Psychiatric LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Omaha, NE
  • NPI 1205703733
  NPD Authorized official
• Alegent Health Bergan Mercy Health System

  • Psychiatric Hospital Unit
  • Omaha, NE
  • NPI 1396969499
  NPD (past)

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1336649987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 BURT CIR STE 160",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142009",
            "telephone_number": "402-979-7128",
            "fax_number": "888-786-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 BURT CIR STE 160",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142009",
            "telephone_number": "402-979-7128",
            "fax_number": "888-786-5514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11725 Arbor St Ste 135",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681442922",
            "country_code": "US",
            "telephone_number": "402-979-7128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11725 Arbor St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "68144",
            "country_code": "US",
            "telephone_number": "402-979-7128",
            "fax_number": "888-786-5514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "COLTON",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "2045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmer Psychiatric Mental-Health Services LLC
• Araceli Palmer
• Ashley D Palmer, LCSW
• Candice Palmer
• Catherine Palmer
• Cristian C Palmer
• Deborah Palmer
• Eva Palmer
• Latifah Janaye Palmer, LPN
• Malique Palmer

• Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.