ANNIE ROSE PALMER (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083169064

ANNIE ROSE PALMER (NP) is a healthcare provider. based in Berkeley, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 21227 (CA). The NPI Number for ANNIE ROSE PALMER (NP) is 1083169064

Main info

Female
16 Years Of Experience
Name
ANNIE ROSE PALMER (NP)
NPI
1083169064
Phone
(510) 981-5290
Address
2640 MARTIN LUTHER KING JR WAY
Enumeration Date
19 August 2016
Last Update Date
22 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5109247667
Graduation Year
2010 (16 years ago)
PAC ID
1355622929
Group Practice PAC ID
7719025550
Professional Enrollment ID
I20161220001571
Address ID
CA945011148AL1005XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

16,538 NURSE PRACTITIONER in CA

Provider Addresses for ANNIE ROSE PALMER (NP)

  • 2640 MARTIN LUTHER KING JR WAY

    BERKELEY, CA 947043238

    Phone: (510) 981-5290

    Fax: (510) 981-5265

    Type: Location

  • Sir Francis Drake Boulevard, Greenbrae Marina, Larkspur, Marin County, California, 94939, United States

    LARKSPUR, CA 949391727

    Phone: (415) 526-5643

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161220001571INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2217$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 94704)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719025550View full group profile
NameSpecialtyState
Nurse PractitionerCA
-CA
-CA
-CA
Nurse PractitionerCA
Clinical Social WorkerCA
Clinical Social WorkerCA
-CA
-CA
Clinical Social WorkerCA

Reviews

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Frequently asked questions

What number should I use to identify ANNIE ROSE PALMER (NP) for billing?
Administrative and clinical systems typically use NPI 1083169064 for ANNIE ROSE PALMER (NP).
Quick check: is ANNIE ROSE PALMER (NP) active?
Public NPPES data shows ANNIE ROSE PALMER (NP) with an active NPI status right now.
What type of care does ANNIE ROSE PALMER (NP) provide?
ANNIE ROSE PALMER (NP)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to ANNIE ROSE PALMER (NP)?
ANNIE ROSE PALMER (NP) shows a connection to Berkeley, California in registry-derived data.
Can I export ANNIE ROSE PALMER (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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