PEACHES PALMER NP
NPI 1235612706
Nurse Practitioner in Diberville, MS
About Peaches Palmer Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEACHES PALMER NP (NPI 1235612706) is an individual nurse practitioner in Diberville, Mississippi, licensed in Mississippi (F06180040) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
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 and accepts Medicare assignment
Peaches Palmer Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Peaches Palmer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ocean Springs, MS 39564
- Reassigned Medicare billing, Mississippi enrollment
- 450 clinicians in this Medicare group
Mission, TX 78572
- Reassigned Medicare billing, Texas enrollment
- 5 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Peaches Palmer's NPI number?
The NPI number for Peaches Palmer is 1235612706. It was assigned to this individual provider in the NPPES registry on September 11, 2018.
Where is Peaches Palmer located?
Peaches Palmer practices at 3661 Sangani Blvd Ste E, Diberville, MS 39540. The listed phone number is (228) 354-0022.
What is Peaches Palmer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Peaches Palmer enrolled in Medicare?
Yes. Peaches 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.
Which organizations bill Medicare for Peaches Palmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peaches Palmer reassigns Medicare benefits to 2 organizations: Singing River Health System (Ocean Springs, MS) and Family Medicine Associates P A (Mission, TX). 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 Peaches 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 Peaches Palmer was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Peaches Palmer, NP · NPI 1235612706
Nurse Practitioner physician in Diberville, Mississippi. Individual provider, active in the CMS NPPES registry since September 11, 2018.
## Identity
- **NPI:** 1235612706 (Entity type: Individual)
- **Enumerated:** September 11, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** F06180040 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3661 SANGANI BLVD STE E, Diberville, MS 39540-8707
- **Phone:** (228) 354-0022
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Singing River Health System (NPI 1053528109, Ocean Springs, MS); Family Medicine Associates P A (NPI 1295808293, Mission, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1235612706) · Data from the CMS NPPES public registry.