Individual provider Active NPI

Jonathon D Palmer, FNP

  • Family Nurse Practitioner
  • Washington, MO
National Provider Identifier
1699641795
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025044093 Issued in MO
Practice address
3195 Phoenix Center Dr
Washington, MO 63090-5689
Phone
(636) 231-3020
Fax
(314) 275-4626
NPI assigned
Oct 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 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 2025044093 MO Primary

Addresses

Primary practice location

3195 Phoenix Center Dr
Washington, MO 63090-5689

Mailing address

PO Box 419052
Saint Louis, MO 63141-9052
Phone (314) 851-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20251103003630 MO Practitioner - Nurse Practitioner 7517457153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Multispecialty Group IncGroup PAC ID 1658365572, 118 clinicians

Practice addresses (Care Compare)

3195 Phoenix Ctr Dr
Washington, MO 63090-5689
Phone (636) 231-3020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025044093MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Multispecialty Group Inc. Family CurrentSince Oct 8, 2025 Accepting new patients

Locations

9930 Watson Rd
Saint Louis, MO 63126
Phone (314) 984-8827

1721 Heritage Hills Dr
Washington, MO 63090
Phone (636) 231-6660

3195 Phoenix Center Dr
Washington, MO 63090
Phone (636) 231-5623

Interoperability endpoints

  • Direct secure messaging: jonathon.palmer.p1@direct.essehealth.nextgenshare.com

Organizations & group practices 1

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 1

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": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1699641795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419052",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631419052",
            "telephone_number": "314-851-1000",
            "fax_number": "314-851-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 PHOENIX CENTER DR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905689",
            "telephone_number": "636-231-3020",
            "fax_number": "314-275-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JONATHON",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025044093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.