MRS. GINA MARIE PALM APN
NPI 1033148275
Nurse Practitioner - Pediatrics in Park Ridge, IL

Q: What is Gina Palm's NPI number?

The NPI number for Gina Palm is 1033148275. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Q: What is Gina Palm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Gina Palm was last updated on February 20, 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.

Active since July 01, 2006PECOS Enrolled

1675 DEMPSTER ST FL 1, PARK RIDGE, IL 60068(847) 318-9300(847) 723-9583 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Gina Marie Palm Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GINA MARIE PALM APN (NPI 1033148275) is an individual pediatrics provider in Park Ridge, Illinois, licensed in Illinois (209004482) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1033148275

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. GINA MARIE PALMCredential: APN

Location Address1675 DEMPSTER ST FL 1Park Ridge, IL 60068-1110

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(847) 318-9300

Fax(847) 723-9583

Sole ProprietorYes

Enumeration DateJuly 1, 2006

Last NPPES UpdateFebruary 20, 2023

NPPES CertifiedFebruary 20, 2023

✔ NPI 1033148275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IL · 209004482

1675 DEMPSTER ST FL 1, Park Ridge, IL 60068

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Secondary Practice Location 1

Location 16631 N Bosworth AveChicago, IL 60626-4223 · Phone (773) 761-5035 · Fax (773) 761-5005

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Gina Marie Palm Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAXIE I MCDONOUGH MD

Hospitalist