SAMUEL PALMER (ARNP) – Family Nurse Practitioner, NPI 1326584434

SAMUEL PALMER (ARNP) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 9310792 (FL). The NPI Number for SAMUEL PALMER (ARNP) is 1326584434

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL PALMER (ARNP)
NPI
1326584434
Phone
Not provided
Address
4205 BELFORT RD STE 4015
Enumeration Date
12 January 2017
Last Update Date
27 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7209619700
Graduation Year
2016 (10 years ago)
PAC ID
0345503223
Group Practice PAC ID
5092053751
Professional Enrollment ID
I20230119000342
Address ID
CO800272304LO1335XRDXX502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

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Provider Addresses for SAMUEL PALMER (ARNP)

  • 4015, Belfort Road, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322163623

    Phone:

    Type: Mailing

  • San Jose Boulevard, San Jose, Jacksonville, Duval County, Florida, 32217, United States

    JACKSONVILLE, FL 322232673

    Phone: (904) 262-7211

    Fax: (904) 262-6995

    Type: Location

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: 2023-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180405001015INurse PractitionerFLTBD
I20230119000342INurse PractitionerCOTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg22021$0
99204New patient office or other outpatient visit, 45-59 minutes7979$0
99214Established patient office or other outpatient visit, 30-39 minutes6962$0
96372Injection of drug or substance under skin or into muscle2522$0
81003Automated urinalysis test1716$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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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: 5092053751View full group profile
NameSpecialtyState
Physician AssistantKS
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
-FL
Physician AssistantNJ
Physician AssistantCO

Reviews

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Frequently asked questions

What is the standard ID for SAMUEL PALMER (ARNP) in the U.S.?
In the U.S., SAMUEL PALMER (ARNP) is identified by NPI 1326584434.
Does the public listing show SAMUEL PALMER (ARNP) as active?
SAMUEL PALMER (ARNP)'s NPI record reflects an active status in NPPES.
What does the directory say SAMUEL PALMER (ARNP) does?
Insurance directories may phrase it differently, but here SAMUEL PALMER (ARNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SAMUEL PALMER (ARNP) tied to Jacksonville, Florida?
If you are local to Jacksonville, Florida, SAMUEL PALMER (ARNP) may be relevant to your search.
Why is information missing for SAMUEL PALMER (ARNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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