MADISON PALMER – Psychiatric/Mental Health Nurse Practitioner, NPI 1336893254

MADISON PALMER is a healthcare provider. based in San diego, California. specializing in NURSE PRACTITIONER. They hold a License No. 95019968 (CA). The NPI Number for MADISON PALMER is 1336893254

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MADISON PALMER
NPI
1336893254
Phone
(833) 931-1716
Address
4295 Gesner St Ste 2E
Enumeration Date
9 February 2022
Last Update Date
5 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8339311716
Graduation Year
2021 (5 years ago)
PAC ID
1658766050
Group Practice PAC ID
4587094826
Professional Enrollment ID
I20220322001885
Address ID
CA921176660SA4295XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MADISON PALMER

  • 4295 Gesner St Ste 2E

    San Diego, CA 921176660

    Phone: (833) 931-1716

    Type: Location

  • 2900 Bristol St Ste D106

    Costa Mesa, CA 926265940

    Phone: (833) 931-1716

    Type: Location

  • 1150 BAKER ST

    COSTA MESA, CA 926264111

    Phone:

    Type: Mailing

  • 582 MARKET ST STE 1608

    SAN FRANCISCO, CA 941045317

    Phone: (833) 931-1716

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Corium, LLC ($55).

Total Amount

$104

General + Research + Ownership

Payments

4

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-03-22

PECOS data refreshed: 2026-05-27

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
I20220322001885INurse 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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes2520$0
95816Measurement of brain wave activity (eeg), awake and drowsy2520$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2121$0
99202New patient office or other outpatient visit, 15-29 minutes2020$0
90901Biofeedback training2017$0
View full utilization report →

Insurance plans in this area (ZIP 92117)

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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: 4587094826View full group profile
NameSpecialtyState
Nurse PractitionerCA
Marriage And Family TherapistCA
-CA
P S Y C H I A T R YCA
P S Y C H I A T R YCA
Mental Health CounselorCA
P S Y C H I A T R YCA
Mental Health CounselorCA
P S Y C H I A T R YCA
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do payers reference MADISON PALMER?
For MADISON PALMER, use NPI 1336893254 as the unique 10-digit identifier.
Would MADISON PALMER appear as active to a payer?
You can treat MADISON PALMER as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MADISON PALMER?
At a glance, MADISON PALMER is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MADISON PALMER?
Travel planning: use San Diego, California as the reference point for MADISON PALMER, then confirm.
Can I trust this NPI listing for MADISON PALMER?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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