Active NPI
Melissa S Palmer, DMD
- Dentist
- Metropolis, IL
National Provider Identifier
1578085379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22562
- Practice address
- 1521 E 5TH St
Metropolis, IL 62960-2717 - Phone
- (618) 524-7499
- NPI assigned
- Jul 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN22562 | FL | Primary |
Addresses
Primary practice location
1521 E 5TH St
Metropolis, IL 62960-2717
Mailing address
171 NW Albritton LN
Lake City, FL 32055-4451
Phone (386) 290-0912
Other practice location 1
211 N Broadway
Goreville, IL 62939-2323
Phone (618) 995-1002
Other practice location 2
171 NW Albritton Ln
Lake City, FL 32055-4451
Phone (386) 752-5904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220301000147 | FL | Order and Referring Only - Dentist | 3779977137 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22562 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1578085379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 NW ALBRITTON LN",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320554451",
"telephone_number": "386-290-0912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 E 5TH ST",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629602717",
"telephone_number": "618-524-7499"
}
],
"practiceLocations": [
{
"address_1": "211 N Broadway",
"address_purpose": "LOCATION",
"city": "Goreville",
"state": "IL",
"postal_code": "629392323",
"country_code": "US",
"telephone_number": "618-995-1002",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "171 NW Albritton Ln",
"address_purpose": "LOCATION",
"city": "Lake City",
"state": "FL",
"postal_code": "320554451",
"country_code": "US",
"telephone_number": "386-752-5904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMER",
"first_name": "MELISSA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-13",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metropolis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.