NPIMap

Individual provider Active NPI

Shilo Palmer, FNP-C

  • Family Medicine Physician
  • Delta, CO
National Provider Identifier
1639919038
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APN.0999682-NP Issued in CO
Practice address
233 Cottonwood St
Delta, CO 81416-4400
Phone
(970) 874-0336
Fax
(970) 245-5029
NPI assigned
May 31, 2024
Last updated
May 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APN.0999682-NP CO Primary

Addresses

Primary practice location

233 Cottonwood St
Delta, CO 81416-4400

Mailing address

2303 S Townsend Ave Ste a
Montrose, CO 81401-5452
Phone (970) 270-0131

Other practice location 1

255 SW 8th Ave
Cedaredge, CO 81413-3902
Phone (970) 856-3146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702004432 CO Practitioner - Nurse Practitioner 0143763706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marillac Clinic, Inc.Group PAC ID 1052634748, shared by 2 NPIs, 19 clinicians

Practice addresses (Care Compare)

526 29
Grand Junction, CO 81504

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0999682-NPCOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Point Health LLC Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Marillac Clinic, Inc. Dba Primehealth PastSince Jan 1, 2020 Accepting new patients
Marillac Clinic, Inc. Dba Primehealth Family Medicine Past Accepting new patients
Marillac Clinic, Inc. Dba Primehealth PastSince May 7, 2024 Accepting new patients
Marillac Clinic, Inc Dba Primehealth Past Accepting new patients

Locations

255 SW 8th Ave
Cedaredge, CO 81413
Phone (970) 856-3146

233 Cottonwood St
Delta, CO 81416
Phone (970) 240-3338

2303 S Townsend Ave
Ste A
Montrose, CO 81401
Phone (970) 240-6136

3330 S Rio Grande Ave
Montrose, CO 81401
Phone (970) 240-7314

Organizations & group practices 5

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 4

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": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1639919038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S TOWNSEND AVE STE A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015452",
            "telephone_number": "970-270-0131",
            "fax_number": "970-541-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 COTTONWOOD ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814164400",
            "telephone_number": "970-874-0336",
            "fax_number": "970-245-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 SW 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Cedaredge",
            "state": "CO",
            "postal_code": "814133902",
            "country_code": "US",
            "telephone_number": "970-856-3146",
            "fax_number": "970-249-5029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SHILO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "APN.0999682-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.