Active NPI
Justin Matthew Palmer, PA-C
- Medical Physician Assistant
- Loveland, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.0006533
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0006533 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Northern Colorado | Current | Accepting new patients | |
| Sunrise Community Health | Current | Accepting new patients | |
| Sunrise Community Health | Current | Accepting new patients | |
| Colorado Urgent Care PLLC | Past | Accepting new patients | |
| Sunrise Community Health | Past | Accepting new patients | |
| Sunrise Community Health | Past | Accepting new patients | |
| Colorado Urgent Care PLLC | Past | 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
- 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.
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Fort Collins, CO
- NPI 1154025104
-
dba Loveland Community Health Clinic
- Federally Qualified Health Center (FQHC)
- Loveland, CO
- NPI 1902005382
-
dba North Loveland Community Health Center
- Federally Qualified Health Center (FQHC)
- Loveland, CO
- NPI 1700690252
-
dba Kid's Care Clinic
- Federally Qualified Health Center (FQHC)
- Evans, CO
- NPI 1811295264
-
dba NextCare Urgent Care
- Urgent Care Clinic/Center
- Aurora, CO
- NPI 1255949681
-
dba NextCare Urgent Care
- Urgent Care Clinic/Center
- Longmont, CO
- NPI 1851909287
-
dba Monfort Family Clinic
- Federally Qualified Health Center (FQHC)
- Evans, CO
- NPI 1295732048
-
dba Loveland Community Health Pharmacy
- Clinic Pharmacy
- Loveland, CO
- NPI 1609923283
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.