ANDREW ROBERT PALMER – Pediatric Radiology Physician, NPI 1811485451
Pediatric Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for ANDREW ROBERT PALMER
University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States
JACKSON, MS 392164500
Phone: (601) 815-1779
Fax: (601) 815-0444
Type: Mailing
345 Smith Ave N
Saint Paul, MN 551022346
Phone: (601) 815-1779
Type: Location
345 SMITH AVE N
SAINT PAUL, MN 551022346
Phone:
Type: Mailing
2525 CHICAGO AVE
MINNEAPOLIS, MN 554044518
Phone: (612) 813-6000
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: 2024-09-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240925000518 | I | Diagnostic Radiology | MN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 39216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Pediatric Medicine | MN | |
| Diagnostic Radiology | MN | |
| Nurse Practitioner | MN | |
| H E M A T O L O G Y/ O N C O L O G Y | MN | |
| Nuclear Medicine, Pediatric Medicine, Diagnostic Radiology | KY | |
| - | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| H E M A T O L O G Y/ O N C O L O G Y | MN |
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