Individual provider Active NPI

Noelle C Palmstrom, PA

  • Physician Assistant
  • North Conway, NH
National Provider Identifier
1740701598
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6717 Issued in AZ
Practice address
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone
(603) 356-5461
NPI assigned
Jul 2, 2017
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1671 NH
Physician Assistant 363A00000X PA100401 MA
Physician Assistant 363A00000X 6717 AZ Primary

Addresses

Primary practice location

3073 White Mountain Hwy
North Conway, NH 03860-7101

Mailing address

3073 White Mountain Hwy
North Conway, NH 03860-7101

Other practice location 1

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-5700

Other practice location 2

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

Other practice location 3

255 Washington St
Brighton, MA 02135
Phone (617) 789-3000

Other names 1

  • Noelle Caitlin Palmstrom Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170914004137 AZ Practitioner - Physician Assistant 8426322405 Reassigns benefits to 2 organizations
I20240620002315 MA Practitioner - Physician Assistant 8426322405 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.68 of 100Reported as group
Quality
92.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group of Massachusetts Inc Past Accepting new patients
Lifespan of Massachusetts - Taunton Inc Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: npalmstrom252237@direct.bmc.masshiway.net

Organizations & group practices 6

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 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": "1498953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1740701598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038607101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038607101",
            "telephone_number": "603-356-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122805",
            "country_code": "US",
            "telephone_number": "520-324-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023011794",
            "country_code": "US",
            "telephone_number": "508-427-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 WASHINGTON ST",
            "address_purpose": "LOCATION",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "country_code": "US",
            "telephone_number": "617-789-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMSTROM",
        "first_name": "NOELLE",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-02",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1671",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA100401",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELLE",
            "last_name": "PALMSTROM",
            "middle_name": "CAITLIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Conway, NH

Sources for this page

Verify at the official NPI Registry.