Shelly Marie Palmer, PA
Individual provider Active NPI Medical Physician Assistant · Apple Valley, MN
NPI 1821044843 · NPPES record last updated Aug 26, 2024
Key facts
- NPI
- 1821044843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 9186 (MN)
- Practice address
- 14655 Galaxie Ave
Apple Valley, MN 55124-8602 - Phone
- (651) 241-3779
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
1324 5TH St N
New Ulm, MN 56073-1514
Phone (507) 217-1327
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060810000094 | MN | Practitioner - Physician Assistant | 0446253546 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1070 | SD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Mayo Clinic Health System-Fairmont | Current |
Accepting new patients | |
| Stevens Community Medical Center Inc | Current |
Accepting new patients | |
| Rural Health Care, Inc | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Rural Health Care, Inc. | Current |
Accepting new patients | |
| Hartberg Medical Clinic P.a. | Past | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
300 S Bruce St
Ste 100
Marshall, MN 56258
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
3270 W Lake St
Minneapolis, MN 55416
Phone (612) 775-1800
7373 France Ave S
Ste 208
Minneapolis, MN 55435
Phone (952) 835-1311
301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317
400 E 1st St
Morris, MN 56267
Phone (320) 589-1313
1324 5th St N
New Ulm, MN 56073
Phone (507) 217-5000
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
1021 Bandana Blvd E
Ste 100
Saint Paul, MN 55108
Phone (877) 414-2533
14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141
4166 Lexington Ave N
Shoreview, MN 55126
Phone (651) 241-1306
2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618
8675 Valley Creek Rd
Woodbury, MN 55125
Phone (651) 241-3000
1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522
1216 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2921
Interoperability endpoints
- spalmer748190@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 9186 | MN | Yes |
Addresses
Primary practice location
14655 Galaxie Ave
Apple Valley, MN 55124-8602
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Other practice location 1
800 Medical Center Dr
Fairmont, MN 56031-4575
Phone (507) 238-8100
Other practice location 2
1207 6th Ave So
St Jame Health Services
St James, MN 56081
Phone (507) 375-3391
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400583000 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spalmer165440@excellian.direct.allina.com | Direct | ALLINA HEALTH SYSTEM |
Other providers in Apple Valley, MN
- Otrhopedic Specialists, P.a.
- Tamara Glee Otteson
- Kayla Owango
- Paideia Academy
- Kenneth Gerard Pallas
- Robin Marie Parker
- Shannon Jo Parkos
- Fernando J Partida Ruessga
- Jeffrey A Pastir
- Shuchi Patel
All providers in Apple Valley, MN · Medical Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.