Individual provider Active NPI

Shereen E Palmer, MD

  • Pediatrics Physician
  • Lowville, NY
National Provider Identifier
1942296439
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1866671 Issued in NY
Practice address
5402 Dayan St Ste 100
Lowville, NY 13367-1117
Phone
(315) 376-5558
Fax
(315) 376-5587
NPI assigned
Sep 21, 2005
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 1866671 NY Primary

Addresses

Primary practice location

5402 Dayan St Ste 100
Lowville, NY 13367-1117

Mailing address

5402 Dayan St Ste 100
Lowville, NY 13367-1117
Phone (315) 376-5558

Other identifiers 2

IdentifierTypeStateIssuer
02365988MedicaidNY
AA1500OtherMEDICARE GROUP ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000385 NY Practitioner - Pediatric Medicine 7618940321 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1866671NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Claxton-Hepburn Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Lowville Medical Associates LLP Pediatrics CurrentSince Apr 24, 2003 Accepting new patients
North Country Family Health Center, Inc. Past Accepting new patients
Lewis County General Hospital Past Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

5402 Dayan St
Ste 100
Lowville, NY 13367
Phone (315) 376-4600

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

Interoperability endpoints

  • Direct secure messaging: shereen.palmer.1@21901.direct.athenahealth.com

Organizations & group practices 5

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1942296439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 DAYAN ST STE 100",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671117",
            "telephone_number": "315-376-5558",
            "fax_number": "315-376-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 DAYAN ST STE 100",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671117",
            "telephone_number": "315-376-5558",
            "fax_number": "315-376-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SHEREEN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "1866671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02365988",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "AA1500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowville, NY

Sources for this page

Verify at the official NPI Registry.