Individual provider Active NPI

Nancy Ann-Martin Palombo, FNP-BC, FNP-C

  • Family Nurse Practitioner
  • Caro, MI
National Provider Identifier
1912596099
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000027996 Issued in TN
Practice address
1800 W Caro Rd Ste VI
Caro, MI 48723-8209
Phone
(989) 673-6144
Fax
(989) 672-1800
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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 APN0000027996 TN Primary

Addresses

Primary practice location

1800 W Caro Rd Ste VI
Caro, MI 48723-8209

Mailing address

3648 Wedgewood Dr
Lapeer, MI 48446-2997
Phone (636) 795-0373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241014001098 MI Practitioner - Nurse Practitioner 4082146204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000027996TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Med PLLC CurrentSince Sep 16, 2024 Accepting new patients

Locations

1800 W Caro Rd
Ste Vi
Caro, MI 48723
Phone (989) 673-6144

Interoperability endpoints

  • Direct secure messaging: nancy.palombo.1@23356.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23356/brand/1/csg/1/fhir/r4

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1912596099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3648 WEDGEWOOD DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462997",
            "telephone_number": "636-795-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CARO RD STE VI",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487238209",
            "telephone_number": "989-673-6144",
            "fax_number": "989-672-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMBO",
        "first_name": "NANCY",
        "middle_name": "ANN-MARTIN",
        "credential": "FNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000027996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

Verify at the official NPI Registry.