NPIMap

Nathan Jon Palmolea, DO

Individual provider Active NPI Hospitalist Physician · Duluth, MN

NPI 1609211606 · NPPES record last updated Feb 7, 2019

Key facts

NPI
1609211606
Entity type
Individual (NPI type 1)
Primary specialty
Hospitalist Physician 208M00000X
License
58153 (MN)
Practice address
400 E 3Rd St
Duluth, MN 55805-1951
Phone
(218) 786-8364
NPI assigned
May 3, 2013
Sex
Male
Sole proprietor
No

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Medicare Care Compare profile

Specialty
Hospitalist
Also: Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTD (1,135 clinicians)
Northern Pines Medical Center (39 clinicians)

Practice addresses (Care Compare)

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

5211 Hwy 110
Aurora, MN 55705-1522
Phone (218) 229-3311

Hospital & facility affiliations

  • Essentia Health St Mary'S Medical Center Hospital · Duluth, MN · CCN 240002
  • Essentia Health Duluth Hospital · Duluth, MN · CCN 240019
  • Essentia Health Northern Pines Medical Center Hospital · Aurora, MN · CCN 241340
  • Essentia Health Moose Lake Hospital · Moose Lake, MN · CCN 241350
  • Tamarack Health Hayward Medical Center Hospital · Hayward, WI · CCN 521336

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MN, WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Benedictine Health Center
Duluth, MN · CCN 245236		 Skilled nursing facility Corporate Director Apr 1, 2017

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20151007003323 MN Practitioner - Hospitalist
Practitioner - Family Practice
Practitioner - Emergency Medicine		 5991013153 Reassigns benefits to 1 organization
I20200423002134 WI Practitioner - Family Practice
Practitioner - Hospitalist		 5991013153 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic, LTD Current
since Aug 15, 2016		 Accepting new patients
St. Mary'S Hospital of Superior Current Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
St. Mary'S Hospital of Superior Current
since Mar 1, 2020		 Accepting new patients
The Duluth Clinic, LTD. Current
since Aug 15, 2016		 Accepting new patients
SMDC Medical Center Past Accepting new patients
St Marys Medical Center Past Accepting new patients

Locations

512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207

400 E 3rd St
#2
Duluth, MN 55805
Phone (218) 786-8319

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

603 9th St N
Virginia, MN 55792
Phone (218) 741-3013

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58153 MN
Hospitalist Physician 208M00000X 58153 MN Yes

Addresses

Primary practice location

400 E 3Rd St
Duluth, MN 55805-1951

Mailing address

400 E 3Rd St
Credentialing Dept., McL2Cred
Duluth, MN 55805-1951
Phone (218) 786-8364

Other providers in Duluth, MN

All providers in Duluth, MN · Hospitalist Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.