Individual provider Active NPI

Justin Matthew Palmer, PA-C

  • Medical Physician Assistant
  • Loveland, CO
National Provider Identifier
1891171955
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0006533 Issued in CO
Practice address
302 3Rd St SE # Suire150
Loveland, CO 80537-6419
Phone
(970) 669-4855
Fax
(970) 669-7389
NPI assigned
Jul 30, 2015
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.0006533 CO Primary

Addresses

Primary practice location

302 3Rd St SE # Suire150
Loveland, CO 80537-6419

Mailing address

2930 11TH Ave
Evans, CO 80620-1011
Phone (970) 353-9403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20210126000634 CO Practitioner - Physician Assistant 9335484187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Northern ColoradoGroup PAC ID 5092176784, 11 clinicians
Sunrise Community HealthGroup PAC ID 0648164780, 51 clinicians

Practice addresses (Care Compare)

2804 S Timberline Rd
Afc Urgent Care
Fort Collins, CO 80525-2402
Phone (970) 672-4026

2930 11TH Ave
Evans, CO 80620-1011
Phone (970) 353-9403

302 3Rd St SE
Loveland, CO 80537-6419
Phone (970) 669-4855

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0006533COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Northern Colorado CurrentSince Nov 10, 2025 Accepting new patients
Sunrise Community Health CurrentSince Mar 19, 2022 Accepting new patients
Sunrise Community Health CurrentSince Mar 19, 2022 Accepting new patients
Colorado Urgent Care PLLC PastSince Aug 2, 2020 Accepting new patients
Sunrise Community Health Past Accepting new patients
Sunrise Community Health PastSince Sep 23, 2021 Accepting new patients
Colorado Urgent Care PLLC PastSince Jan 1, 2021 Accepting new patients

Locations

2930 11th Ave
Evans, CO 80620
Phone (970) 350-4606

2804 S Timberline Rd
Fort Collins, CO 80525
Phone (970) 672-4026

302 3rd St SE
Loveland, CO 80537
Phone (970) 461-3843

302 3rd St SE
#150
Loveland, CO 80537
Phone (970) 461-8942

302 3rd St SE
Ste 150
Loveland, CO 80537
Phone (970) 669-4855

Interoperability endpoints

  • Direct secure messaging: justin.palmer.1@27043.direct.athenahealth.com

Organizations & group practices 8

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1891171955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-353-9403",
            "fax_number": "970-353-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 3RD ST SE # SUIRE150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805376419",
            "telephone_number": "970-669-4855",
            "fax_number": "970-669-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JUSTIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0006533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.