Individual provider Active NPI

Charlie Palmer, CNP

  • Family Nurse Practitioner
  • Tiffin, OH
National Provider Identifier
1508406844
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.026191 Issued in OH
Practice address
273 S Washington St
Tiffin, OH 44883-3052
Phone
(567) 230-1162
NPI assigned
Jan 15, 2020
Last updated
May 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.026191 OH Primary

Addresses

Primary practice location

273 S Washington St
Tiffin, OH 44883-3052

Mailing address

273 S Washington St
Tiffin, OH 44883-3052
Phone (567) 230-1162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200225002962 OH Practitioner - Nurse Practitioner 3678900917 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Wellness & Consulting LLC Family CurrentSince Jul 1, 2025 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Sep 11, 2025 Accepting new patients
Everycare Health LLC Family CurrentSince Jun 3, 2025 Accepting new patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Jun 26, 2025 Accepting new patients

Locations

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

8151 Norton Pkwy
Mentor, OH 44060
Phone (440) 299-5500

273 S Washington St
Tiffin, OH 44883
Phone (419) 301-7500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1508406844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 S WASHINGTON ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833052",
            "telephone_number": "567-230-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 S WASHINGTON ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833052",
            "telephone_number": "567-230-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CHARLIE",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

Verify at the official NPI Registry.