SOPHIA PALMER
NPI 1003225152
Nurse Practitioner - Gerontology in Amityville, NY
About Sophia Palmer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIA PALMER (NPI 1003225152) is an individual gerontology provider in Amityville, New York, licensed in New York (AG0514061) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sophia Palmer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Sophia Palmer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Amityville, NY 11701
- Reassigned Medicare billing, New York enrollment
- 123 clinicians in this Medicare group
Massapequa, NY 11758
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Fulton Medical PC
- 37 clinicians in this Medicare group
Syosset, NY 11791
- Reassigned Medicare billing, New York enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 14
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sophia Palmer's NPI number?
The NPI number for Sophia Palmer is 1003225152. It was assigned to this individual provider in the NPPES registry on August 2, 2014.
Where is Sophia Palmer located?
Sophia Palmer practices at 11 Poplar Rd, Amityville, NY 11701. The listed phone number is (631) 464-2889.
What is Sophia Palmer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Sophia Palmer enrolled in Medicare?
Yes. Sophia Palmer is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sophia Palmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Palmer reassigns Medicare benefits to 3 organizations: The Long Island Home (Amityville, NY), Fulton Medical, P.C. (Massapequa, NY) and Long Island Medical Services P.C. (Syosset, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Palmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sophia Palmer was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sophia Palmer · NPI 1003225152
Gerontology physician in Amityville, New York. Individual provider, active in the CMS NPPES registry since August 2, 2014.
## Identity
- **NPI:** 1003225152 (Entity type: Individual)
- **Enumerated:** August 2, 2014
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** AG0514061 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11 POPLAR RD, Amityville, NY 11701-1016
- **Phone:** (631) 464-2889
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Long Island Home (NPI 1568459204, Amityville, NY); Fulton Medical, P.C. (NPI 1841635133, Massapequa, NY); Long Island Medical Services P.C. (NPI 1841443538, Syosset, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1003225152) · Data from the CMS NPPES public registry.