Individual provider Active NPI

Julie M Palmer, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bridgeville, PA
National Provider Identifier
1336662154
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP017683 Issued in PA
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

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171010003027 PA Practitioner - Nurse Practitioner 5890060222 Reassigns benefits to 2 organizations
I20190808001060 WV Practitioner - Nurse Practitioner 5890060222 Reassigns benefits to 1 organization

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
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

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

LicenseStateTypeSpecialty
CNP.102551WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Sep 9, 2024 Accepting new patients
Washington Physician Services CurrentSince Sep 1, 2019 Accepting new patients
Cognitive Medicine Practice PLLC CurrentSince Jul 1, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.