NPIMap

Individual provider Active NPI

Maria Kathleen Palmquist, M.D.

  • Maternal & Fetal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1942369285
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
23657 Issued in NV
Practice address
5761 S Fort Apache Rd
Las Vegas, NV 89148-5506
Phone
(702) 341-6610
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X M-15121 ID
Maternal & Fetal Medicine Physician 207VM0101X MD205395 OR
Obstetrics & Gynecology Physician 207V00000X D64119 MD
Maternal & Fetal Medicine Physician 207VM0101X 7541 SD
Maternal & Fetal Medicine Physician 207VM0101X 23657 NV Primary

Addresses

Primary practice location

5761 S Fort Apache Rd
Las Vegas, NV 89148-5506

Mailing address

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-1100

Other practice location 1

900 N Liberty St Ste 206
Boise, ID 83704
Phone (208) 302-1100

Other identifiers 1

IdentifierTypeStateIssuer
6632200MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, ID, NV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090810000570 SD Practitioner - Obstetrics/Gynecology 6002992047 Reassigns benefits to 3 organizations
I20200406000546 ID Practitioner - Obstetrics/Gynecology 6002992047 Reassigns benefits to 1 organization
I20231011000885 NV Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician)Practitioner - Medical Genetics and Genomics 6002992047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Sanford School of Medicine of University of South Dakota, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1417 S Cliff Ave
Suite 100
Sioux Falls, SD 57105-1063
Phone (605) 322-8937

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-15121IDMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Madison Community Hospital CurrentSince Mar 1, 2017 Accepting new patients
Adashek and Wilkes LLP Maternal & Fetal Medicine CurrentSince Aug 23, 2023 Accepting new patients
Madison Community Hospital CurrentSince Mar 1, 2017 Accepting new patients
Avera McKennan Past Accepting new patients
Saint Joseph Medical Center , Inc. Past Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3001 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 341-6610

5761 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 341-6610

5761 S Fort Apache Rd
Bldg 8
Las Vegas, NV 89148
Phone (702) 341-6610

323 SW 10th St
Madison, SD 57042
Phone (605) 256-6551

Interoperability endpoints

  • Direct secure messaging: maria.palmquist@avera.sdhealthlink.net
  • Direct secure messaging: mpalmquist1564081@direct.trinity-health.org

Organizations & group practices 7

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 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1942369285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-302-1100",
            "fax_number": "208-302-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485506",
            "telephone_number": "702-341-6610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N Liberty St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83704",
            "country_code": "US",
            "telephone_number": "208-302-1100",
            "fax_number": "208-302-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMQUIST",
        "first_name": "MARIA",
        "middle_name": "KATHLEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "ID",
            "license": "M-15121",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OR",
            "license": "MD205395",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D64119",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "SD",
            "license": "7541",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NV",
            "license": "23657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6632200",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.