MR. SAMUEL BARNETT PALMER PA-C
NPI 1447235973
Physician Assistant - Medical in Wichita, KS

Q: What is Samuel Palmer's NPI number?

The NPI number for Samuel Palmer is 1447235973. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Q: What is Samuel Palmer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Palmer was last updated on April 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 December 07, 2005PECOS Enrolled

620 N CARRIAGE PKWY, WICHITA, KS 67208(316) 651-3654 Get Directions Write a Review

NPPES record last updated: April 21, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mr. Samuel Barnett Palmer Pa-c NPPES

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

MR. SAMUEL BARNETT PALMER PA-C (NPI 1447235973) is an individual medical provider in Wichita, Kansas, licensed in Kansas (15-01227) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447235973

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. SAMUEL BARNETT PALMERCredential: PA-C

Location Address620 N CARRIAGE PKWYWichita, KS 67208-4501

Mailing Address620 N Carriage PkwyWichita, KS 67208-4501 · (316) 962-3100

Phone(316) 651-3654

Sole ProprietorNo

Enumeration DateDecember 7, 2005

Last NPPES UpdateApril 21, 2014

✔ NPI 1447235973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in KS · 15-01227

620 N CARRIAGE PKWY, Wichita, KS 67208

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Samuel Barnett Palmer Pa-c 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.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers12 claims12 services$210.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CINDY DAUGHERTY MD

Pediatrics