Madison Palmer

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95019968 Issued in CA

Practice address

582 Market St Ste 1608
San Francisco, CA 94104-5317

Phone

(833) 931-1716

NPI assigned

Feb 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Well Coast Medical CorporationGroup PAC ID 4587094826, 11 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Well Coast Medical Corporation

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1881245231

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Geri Connection

  • Family Medicine Physician
  • Poway, CA
  • NPI 1447976907
  Medicare reassignment NPD
• Myndfull Care Management California PC

  • Clinic/Center
  • San Diego, CA
  • NPI 1770206435
  Medicare reassignment NPD
• California Care Wellness Medical Center Inc.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1447874516
  NPD
• Well Coast Psychiatric Inc. a Nursing Corp

  dba Celium Healthcare

  • Psychiatry Physician
  • Tigard, OR
  • NPI 1841784725

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1336893254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 1608",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045317",
            "telephone_number": "833-931-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 1608",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045317",
            "telephone_number": "833-931-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4295 Gesner St Ste 2E",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921176660",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Bristol St Ste D106",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926265940",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019968",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie Deeann Palmer
• Jacqueline Palmer, FNP-C
• Jason Daniel Palmer
• Jeannie Chen Palmer
• Labrishia Palmer
• Nancy G Palmer, RNFA, FNP
• Pamela P. Palmer, M.D.
• Richard Jeffrey Palmer, PH.D.
• Teresa Palmer, M.D.
• Rosa Palmerin

• Psychiatric/Mental Health Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.