Active NPI
Julie M Palmer, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Bridgeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP017683
- Practice address
- 1370 Washington Pike Ste 303
Bridgeville, PA 15017-2886 - Phone
- (610) 892-3800
- Fax
- (484) 468-1412
- NPI assigned
- Jul 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP.102551 | WV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP017683 | PA | Primary |
Addresses
Primary practice location
1370 Washington Pike Ste 303
Bridgeville, PA 15017-2886
Mailing address
PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7106
Other practice location 1
310 American Way Ste A
Weirton, WV 26062-4083
Phone (304) 797-6410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1370 Washington Pike
Suite 303
Bridgeville, PA 15017-2886
Phone (412) 206-0213
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP.102551 | WV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware County Professional Services, Inc | Current | Accepting new patients | |
| Washington Physician Services | Current | Accepting new patients | |
| Cognitive Medicine Practice PLLC | Current | Accepting new patients |
Locations
1370 Washington Pike
Ste 303
Bridgeville, PA 15017
Phone (412) 206-0123
3800 Sierra Cir
Ste 210
Center Valley, PA 18034
Phone (855) 995-5384
190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335
130 Greene Plz
Waynesburg, PA 15370
Phone (304) 797-6410
780 E Market St
West Chester, PA 19382
Phone (425) 908-0237
310 American Way
#A
Weirton, WV 26062
Phone (304) 797-6410
Interoperability endpoints
- lifestancehealth.juliepalmer@141748.advancedmd-direct.com
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Media, PA
- NPI 1952485864
-
- Family Medicine Physician
- Washington, PA
- NPI 1316917669
-
- Psychiatry Physician
- Weirton, WV
- NPI 1760789093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1336662154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6230",
"city": "WHEELING",
"state": "WV",
"postal_code": "260030722",
"telephone_number": "304-242-7106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 WASHINGTON PIKE STE 303",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150172886",
"telephone_number": "610-892-3800",
"fax_number": "484-468-1412"
}
],
"practiceLocations": [
{
"address_1": "310 American Way Ste A",
"address_purpose": "LOCATION",
"city": "Weirton",
"state": "WV",
"postal_code": "260624083",
"country_code": "US",
"telephone_number": "304-797-6410",
"fax_number": "304-797-6321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMER",
"first_name": "JULIE",
"middle_name": "M",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-24",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WV",
"license": "CNP.102551",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP017683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.