Susan M Palmer, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

112979 Issued in NE

Practice address

2424 S Locust St Ste C
Grand Island, NE 68801-8316

Phone

(308) 675-5301

Fax

(308) 830-7050

NPI assigned

Oct 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Marie Briseno Other name

Medicare fee-for-service enrollment

Enrolled in NE

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindful Path LLCGroup PAC ID 7214343490, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts, 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.

• Mindful Path LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Island, NE
  • NPI 1558955245

  Family

  Medicare reassignment Care Compare group NPD
• Brodstone Memorial Hospital

  • Rural Health Clinic/Center
  • Superior, NE
  • NPI 1073590626
  Medicare reassignment NPD
• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  NE

  Medicare reassignment NPD
• Brodstone Memorial Hospital

  • Rural Health Clinic/Center
  • Deshler, NE
  • NPI 1922802669
  NPD

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1497396923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 S LOCUST ST STE C",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688018316",
            "telephone_number": "308-830-5301",
            "fax_number": "308-830-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 S LOCUST ST STE C",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688018316",
            "telephone_number": "308-675-5301",
            "fax_number": "308-830-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BRISENO",
            "middle_name": "MARIE",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaitlyn Owen, PT
• Joseph Edward Owens
• Cristina Elizabeth Pace, LIMHP
• Emma Padron Lazo
• Kailyn Sue Paige, RP
• Mercedes Belen Palos
• Sheila F Palu, PTA
• Rebecca Panowicz, RRT
• Joel Orosa Paraiso, MD
• Perla Paramo

• Family Nurse Practitioner in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.