Individual provider Active NPI

Tricia J. Palmer, FNP

  • Family Nurse Practitioner
  • Wheeling, WV
National Provider Identifier
1649696808
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN50500-FNP-BC Issued in WV
Practice address
111 Park View LN Ste 202
Wheeling, WV 26003-5406
Phone
(304) 242-4700
Fax
(304) 242-7012
NPI assigned
Mar 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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 APRN50500-FNP-BC WV Primary

Addresses

Primary practice location

111 Park View LN Ste 202
Wheeling, WV 26003-5406

Mailing address

111 Park View LN Ste 202
Wheeling, WV 26003-5406
Phone (304) 242-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20140515002346 WV Practitioner - Nurse Practitioner 6709009947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Family Practice, PLLCGroup PAC ID 9436253630, 4 clinicians

Practice addresses (Care Compare)

1315 Mt Dechantal Rd
Wheeling, WV 26003-6357
Phone (304) 243-7117

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN50500-FNP-BCWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Medical Center Inc PastSince Jan 15, 2018 Accepting new patients
Alecto Healthcare Services Wheeling LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: triciapalmer@afp.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1649696808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PARK VIEW LN STE 202",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035406",
            "telephone_number": "304-242-4700",
            "fax_number": "304-242-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PARK VIEW LN STE 202",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035406",
            "telephone_number": "304-242-4700",
            "fax_number": "304-242-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "TRICIA",
        "middle_name": "J.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN50500-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.