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NICOLE GABRIELLE PALMER DO
NPI 1578054334
Obstetrics & Gynecology in Staten Island, NY

Active since May 28, 2018PECOS EnrolledAccepts Medicare Assignment
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR, STATEN ISLAND, NY 10310(718) 818-2419 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Gabrielle Palmer Do NPPES

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

NICOLE GABRIELLE PALMER DO (NPI 1578054334) is an individual obstetrics & gynecology provider in Staten Island, New York, licensed in New York (313715) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2018).

NPPES Registry Identity

NPI1578054334
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNICOLE GABRIELLE PALMERCredential: DO
Location Address355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOORStaten Island, NY 10310
Mailing Address355 Bard Avenue, Department Of Medicine Villa Bldg 1st FloorStaten Island, NY 10310
Phone(718) 818-2419
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2018
Enumeration DateMay 28, 2018
Last NPPES UpdateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
✔ NPI 1578054334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 313715
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
355 BARD AVENUE, Staten Island, NY 10310
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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

Nicole Gabrielle Palmer Do 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 ID3476898701
PECOS Enrollment IDI20221201000038
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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Palmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Goncharov Medical, P.C.
7.6 mi
Obstetrics & Gynecology
225 SAINT JOHNS PL # PLACEC
Brooklyn, NY 11217
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Goncharov Medical PC
  • 29 clinicians in this Medicare group
NPI 1831580091 (718) 517-8833

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 10310 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

ERIN CAWTHORN DO
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
SU LAT AUNG MD
Hospitalist
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
MORGAN KLINGFUS MD
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
ANTONIA KRISTINE BERTELLE MD
Internal Medicine
355 BARD AVENUE, DEPARTMENT OF MEDICINE , VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
ANISSA ABDELMALEK MD
Pathology (Anatomic Pathology & Clinical Pathology)
355 BARD AVENUE
STATEN ISLAND, NY 10310
Richmond County (516) 512-1090
RUSHANIYA UMYAROVA MD
Internal Medicine
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
DR. AVA ELYSE HANLON DO
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
ROOSHNA FIRDOUS FATIMA MD
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, ROOM 477
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419

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 Nicole Palmer's NPI number?

The NPI number for Nicole Palmer is 1578054334. It was assigned to this individual provider in the NPPES registry on May 28, 2018.

Where is Nicole Palmer located?

Nicole Palmer practices at 355 Bard Avenue Department Of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310. The listed phone number is (718) 818-2419.

What is Nicole Palmer's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nicole Palmer enrolled in Medicare?

Yes. Nicole 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 organization bills Medicare for Nicole Palmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Palmer reassigns Medicare benefits to Goncharov Medical, P.C. (Brooklyn, NY). The 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 Nicole 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 Nicole Palmer was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.