Individual provider Active NPI

Joyce M McMahon Palmateer, FNP

  • Family Nurse Practitioner
  • Mishawaka, IN
National Provider Identifier
1700867058
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001654A Issued in IN
Practice address
210 S Race St
Mishawaka, IN 46544-2032
Phone
(574) 404-6755
Fax
(833) 783-4269
NPI assigned
Nov 11, 2005
Last updated
May 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71001654A IN Primary
Registered Nurse 163W00000X 28156667A IN

Addresses

Primary practice location

210 S Race St
Mishawaka, IN 46544-2032

Mailing address

210 S Race St
Mishawaka, IN 46544-2032
Phone (574) 404-6755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041005001207 IN Practitioner - Nurse Practitioner 9739148891 Reassigns benefits to 1 organization
Practice locations: Mishawaka, IN

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001654AINMDFamily Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1700867058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S RACE ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442032",
            "telephone_number": "574-404-6755",
            "fax_number": "833-783-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S RACE ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442032",
            "telephone_number": "574-404-6755",
            "fax_number": "833-783-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON PALMATEER",
        "first_name": "JOYCE",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001654A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28156667A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.