Individual provider Active NPI

Quanesha Palmer, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • De Witt, AR
National Provider Identifier
1750196127
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
232042 Issued in AR
Practice address
1325 Liberty Dr
De Witt, AR 72042-3430
Phone
(870) 946-3569
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 232042 AR Primary

Addresses

Primary practice location

1325 Liberty Dr
De Witt, AR 72042-3430

Mailing address

PO Box 127
Barton, AR 72312-0127
Phone (870) 714-9838

Other practice location 1

554 Quarles Ln
West Helena, AR 72390-2046
Phone (870) 714-9838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20250321001089 AR Practitioner - Nurse Practitioner 5092237891 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
Supportive Psych Care of Arkansas PA 42 clinicians

Practice addresses (Care Compare)

11503 Rocky Valley Dr
Little Rock, AR 72212-3035
Phone (866) 708-1240

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Psych Care of Arkansas PA Single Specialty CurrentSince Mar 15, 2025 Accepting new patients

Locations

811 W Elgin St
Siloam Springs, AR 72761
Phone (479) 524-3128

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1750196127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "BARTON",
            "state": "AR",
            "postal_code": "723120127",
            "telephone_number": "870-714-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 LIBERTY DR",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720423430",
            "telephone_number": "870-946-3569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "554 Quarles Ln",
            "address_purpose": "LOCATION",
            "city": "West Helena",
            "state": "AR",
            "postal_code": "723902046",
            "country_code": "US",
            "telephone_number": "870-714-9838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "QUANESHA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "232042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Witt, AR

Sources for this page

Verify at the official NPI Registry.