Individual provider Active NPI

Hannah Dibble Palmer, AGPCNP-BC

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1467001503
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012240 Issued in NC
Practice address
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone
(336) 277-8800
Fax
(336) 277-8850
NPI assigned
Sep 11, 2019
Last updated
Apr 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012240 NC Primary

Addresses

Primary practice location

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013

Mailing address

PO Box 60516
Charlotte, NC 28260-0516

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hpalmer749980@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20191120001583 NC Practitioner - Nurse Practitioner 4789016361 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1010 Bethesda CT
Winston Salem, NC 27103-3019
Phone (336) 277-8906

203 Old Lexington Rd
Suite 106
Thomasville, NC 27360-3428
Phone (336) 474-8921

207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 472-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5012240NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Thomasville Medical Center, LLC Multi-Specialty CurrentSince Mar 1, 2022 Accepting new patients
Novant Health Rowan Medical Center, LLC Multi-Specialty CurrentSince Mar 1, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. Multi-Specialty Current Accepting new patients
Novant Health Medical Group, LLC Multi-Specialty CurrentSince Sep 28, 2019 Accepting new patients
Forsyth Memorial Hospital Inc Multi-Specialty CurrentSince Sep 28, 2019 Accepting new patients
Novant Health Medical Group, LLC Multi-Specialty Current Accepting new patients
Novant Health Medical Group, LLC Multi-Specialty CurrentSince Sep 28, 2019 Accepting new patients
Novant Health Rowan Medical Center, LLC Multi-Specialty CurrentSince Mar 1, 2022 Accepting new patients
Novant Health Rowan Medical Center LLC Multi-Specialty Current Accepting new patients
Novant Health Thomasville Medical Center LLC Multi-Specialty CurrentSince Mar 1, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. Multi-Specialty CurrentSince Sep 28, 2019 Accepting new patients

Locations

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

276 Old Mocksville Rd
Ste 800
Statesville, NC 28625
Phone (704) 873-5150

1213 Lexington Ave
#B
Thomasville, NC 27360
Phone (336) 249-6632

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: hpalmer749980@direct.novanthealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1467001503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60516",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033013",
            "telephone_number": "336-277-8800",
            "fax_number": "336-277-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "HANNAH",
        "middle_name": "DIBBLE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hpalmer749980@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3333 Silas Creek Pkwy",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.