Individual provider Active NPI

Angela Jane Palmer, FNP

  • Family Nurse Practitioner
  • Elmira, NY
National Provider Identifier
1982301297
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352097 Issued in NY
Practice address
600 Roe Ave
Elmira, NY 14905-1629
Phone
(607) 368-7479
NPI assigned
Feb 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 734515 NY
Family Nurse Practitioner 363LF0000X 352097 NY Primary

Addresses

Primary practice location

600 Roe Ave
Elmira, NY 14905-1629

Mailing address

571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050

Other practice location 1

600 Roe Ave Ste 1A
Elmira, NY 14905-1676
Phone (607) 737-4130

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906002146 NY Practitioner - Nurse Practitioner 9335503523 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians

Practice addresses (Care Compare)

600 Roe Ave
Suite 1a
Elmira, NY 14905-1629
Phone (607) 737-4130

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
55.31
Promoting interoperability
99
Improvement activities
40
Cost
76.8

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
46.76
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
734515NYMDRegistered Nurse
352097NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ira Davenport Memorial Hospital, Inc. Current Accepting new patients
Arnot Medical Services PLLC CurrentSince Sep 11, 2023 Accepting new patients
Arnot Ogden Medical Center CurrentSince Sep 11, 2023 Accepting new patients
Arnot Ogden Medical Center CurrentSince Sep 11, 2023 Accepting new patients
Ira Davenport Memorial Hospital, Inc. CurrentSince Sep 11, 2023 Accepting new patients
Chemung Medical Services PC Past Accepting new patients

Locations

7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500

123 Conhocton St
Ste 103
Corning, NY 14830
Phone (607) 438-1200

600 Roe Ave
Ste 1A
Elmira, NY 14905
Phone (607) 737-4130

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050

600 Fitch St
Ste 201
Elmira, NY 14905
Phone (607) 735-0323

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

600 Fitch St
Ste 202
Elmira, NY 14905
Phone (607) 735-5764

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Roe Ave
#1A
Elmira, NY 14905
Phone (607) 737-4130

600 Ivy St
Ste 208
Elmira, NY 14905
Phone (607) 735-5790

Interoperability endpoints

  • Direct secure messaging: apalmer25182@direct.xtensys.com
  • Direct secure messaging: angela.palmer@arn.eclinicaldirectplus.com

Organizations & group practices 6

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 1

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": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1982301297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050",
            "fax_number": "607-873-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROE AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051629",
            "telephone_number": "607-368-7479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Roe Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149051676",
            "country_code": "US",
            "telephone_number": "607-737-4130",
            "fax_number": "607-737-4530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ANGELA",
        "middle_name": "JANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "734515",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.