Individual provider Active NPI

Amy Jane Palmer, CNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1891384715
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
60568 Issued in NM
Practice address
200 Concord Plaza Dr. Ste
San Antonio, TX 78216-6972
Phone
(575) 706-3226
Fax
(210) 519-2728
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 60568 NM Primary

Addresses

Primary practice location

200 Concord Plaza Dr. Ste
San Antonio, TX 78216-6972

Mailing address

1308 College Ave
Alamogordo, NM 88310-4960
Phone (575) 706-3226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20230620001804 NM Practitioner - Nurse Practitioner 1456753128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

Hospital & facility affiliations

  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004
  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • Lincoln County Medical Center Hospital, Ruidoso, NM, CCN 321306

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association CurrentSince Mar 8, 2023 Accepting new patients
Otero County Hospital Association CurrentSince Mar 8, 2023 Accepting new patients
Ispm - New Mexico LLC Past Accepting new patients

Locations

2579 Scenic Dr
Ste B
Alamogordo, NM 88310
Phone (575) 446-5100

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

101 5th St
Ruidoso, NM 88345
Phone (575) 630-0211

Interoperability endpoints

  • Direct secure messaging: amy.palmer.1@6965.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1891384715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 COLLEGE AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104960",
            "telephone_number": "575-706-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CONCORD PLAZA DR. STE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166972",
            "telephone_number": "575-706-3226",
            "fax_number": "210-519-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "AMY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "60568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.