RILEY JEROME PALMER PHD, LP
NPI 1073342085
Clinical Neuropsychologist in Fridley, MN

Active since July 29, 2024PECOS EnrolledAccepts Medicare Assignment
520 OSBORNE RD NE STE 120, FRIDLEY, MN 55432(763) 236-4300 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riley Jerome Palmer Phd, Lp NPPES

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

RILEY JEROME PALMER PHD, LP (NPI 1073342085) is an individual clinical neuropsychologist in Fridley, Minnesota, licensed in Minnesota (LP7010) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1073342085
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameRILEY JEROME PALMERCredential: PHD, LP
Location Address520 OSBORNE RD NE STE 120Fridley, MN 55432-2718
Mailing Address206 Cleveland Ave S Lowr UnitSaint Paul, MN 55105-1104 · (612) 723-8632
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 29, 2024
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
NPI 1073342085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in MN · LP7010
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
520 OSBORNE RD NE STE 120, Fridley, MN 55432

Secondary Practice Location 1

Location 1295 Phalen BlvdSaint Paul, MN 55130-2400 · Phone (612) 723-8632

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Riley Jerome Palmer Phd, Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416495726
PECOS Enrollment IDI20240819000820
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

Psychiatry & Neurology (Psychiatry)
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432
Nurse Practitioner (Psychiatric/Mental Health)
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432
Counselor (Professional)
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432
Counselor (Professional)
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432
Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432
Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432
Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432
Counselor (Mental Health)
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432

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 Riley Palmer's NPI number?

The NPI number for Riley Palmer is 1073342085. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Riley Palmer located?

Riley Palmer practices at 520 Osborne Rd NE Ste 120, Fridley, MN 55432. The listed phone number is (763) 236-4300.

What is Riley Palmer's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Riley Palmer enrolled in Medicare?

Yes. Riley Palmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Riley Palmer accept?

Health plans from HealthPartners list Riley Palmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Riley Palmer affiliated with any hospitals?

According to CMS data, Riley Palmer is affiliated with Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Riley Palmer was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.